PHILLIP DOUGLAS MARTINEZ-KNOUSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149823

License Status

NOT RENEWED

Business

Title

First Name

PHILLIP

Middle

DOUGLAS

Last Name

MARTINEZ-KNOUSE

Business Name

PHILLIP DOUGLAS MARTINEZ-KNOUSE MD

Original Issue Date

06/19/2019

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023