LISA M PHILLIPS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014132

License Status

EXPIRED

Business

First Name

LISA M

Last Name

PHILLIPS

Suffix

Business Name

LISA M PHILLIPS MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

06/23/1984

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006