ROLAND T PHILLIPS III MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015209

License Status

EXPIRED

Business

Title

First Name

ROLAND

Middle

Last Name

PHILLIPS

Suffix

III

Business Name

ROLAND T PHILLIPS III MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

01/11/2012