ALEXANDER K PHILLIPS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066557

License Status

ACTIVE

Business

Title

First Name

ALEXANDER

Middle

Last Name

PHILLIPS

Business Name

ALEXANDER K PHILLIPS DO

Original Issue Date

09/14/2004

Effective Date

07/25/2024

Expiration Date

07/31/2026

City

ELIZABETH

State

Zip

61028

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

07/25/2024