PHILLIP H FACTOR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074407

License Status

NOT RENEWED

Business

First Name

PHILLIP H

Last Name

FACTOR

Suffix

Business Name

PHILLIP H FACTOR DO

Original Issue Date

01/27/1987

Effective Date

01/27/1987

Expiration Date

07/31/2005

City

GLENCOE

State

Zip

60022

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2012