PHILLIP HARRISON HENRY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159536

License Status

ACTIVE

Business

Title

First Name

PHILLIP

Middle

HARRISON

Last Name

HENRY

Business Name

PHILLIP HARRISON HENRY MD

Original Issue Date

02/23/2022

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2023