MISTY M PHILLIPS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117503

License Status

ACTIVE

Business

Title

First Name

MISTY

Middle

Last Name

PHILLIPS

Business Name

MISTY M PHILLIPS MD

Original Issue Date

01/23/2007

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/24/2023