ELSEWORTH L PHILIP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077850

License Status

NOT RENEWED

Business

First Name

ELSEWORTH L

Last Name

PHILIP

Suffix

Business Name

ELSEWORTH L PHILIP MD

Original Issue Date

09/10/1988

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021