PHILLIP JEFFERY GREENE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114809

License Status

NOT RENEWED

Business

Title

First Name

PHILLIP

Middle

JEFFERY

Last Name

GREENE

Business Name

PHILLIP JEFFERY GREENE MD

Original Issue Date

10/27/2005

Effective Date

06/02/2020

Expiration Date

07/31/2023

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2019006833

Action

Suspension

Discipline Start Date

10/05/2021

Discipline Reason

physician and surgeon license indefinitely suspended for a minimum of 12 months for violation of a Care, Counseling and Treatment Agreement.