KENNETH J PHILLIPS JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019254

License Status

EXPIRED

Business

First Name

KENNETH J

Last Name

PHILLIPS JR

Suffix

Business Name

KENNETH J PHILLIPS JR MD

Original Issue Date

05/22/1986

Effective Date

05/22/1986

Expiration Date

06/27/1989

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006