PHILIP JAMES MEAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156939

License Status

ACTIVE

Business

Title

First Name

PHILIP

Middle

JAMES

Last Name

MEAD

Business Name

PHILIP JAMES MEAD MD

Original Issue Date

05/13/2021

Effective Date

11/19/2024

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

Ever Disciplined

LastModifiedDate

11/19/2024