MARTIN T PHILLIPS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104648

License Status

ACTIVE

Business

First Name

MARTIN

Middle

Last Name

PHILLIPS

Suffix

Business Name

MARTIN T PHILLIPS MD

Original Issue Date

05/09/2001

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

06/27/2023