PHILLIP LEWIS BARKLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071561

License Status

NOT RENEWED

Business

First Name

PHILLIP LEWIS

Last Name

BARKLEY

Suffix

Business Name

PHILLIP LEWIS BARKLEY MD

Original Issue Date

08/21/1985

Effective Date

08/21/1985

Expiration Date

07/31/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006