SUSAN M PHILLIPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074421

License Status

NOT RENEWED

Business

First Name

SUSAN M

Last Name

PHILLIPS

Suffix

Business Name

SUSAN M PHILLIPS MD

Original Issue Date

01/27/1987

Effective Date

01/27/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006