KENNETH J PHILLIPS JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076675

License Status

NOT RENEWED

Business

First Name

KENNETH J

Last Name

PHILLIPS JR

Suffix

Business Name

KENNETH J PHILLIPS JR MD

Original Issue Date

02/10/1988

Effective Date

02/10/1988

Expiration Date

07/31/1999

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006