BENJAMIN WILLIAM PHILLIPS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118301

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

WILLIAM

Last Name

PHILLIPS

Business Name

BENJAMIN WILLIAM PHILLIPS

Original Issue Date

05/02/2007

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

06/16/2023