LANE PHILLIPS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151702

License Status

ACTIVE

Business

Title

First Name

LANE

Last Name

PHILLIPS

Business Name

LANE PHILLIPS MD

Original Issue Date

01/31/2020

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

NORTHFIELD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

04/27/2023