PHILLIP J DECHRISTOPHER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014765

License Status

EXPIRED

Business

First Name

PHILLIP J

Last Name

DECHRISTOPHER

Suffix

Business Name

PHILLIP J DECHRISTOPHER MD

Original Issue Date

07/14/1982

Effective Date

07/14/1982

Expiration Date

07/01/1984

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006