PHILIP BENJAMIN WYATT ROBINSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038948

License Status

NOT RENEWED

Business

First Name

PHILIP BENJAMIN

Middle

WYATT

Last Name

ROBINSON

Suffix

Business Name

PHILIP BENJAMIN WYATT ROBINSON MD

Original Issue Date

03/30/1999

Effective Date

03/30/1999

Expiration Date

03/29/2002

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006

Case Number

2000006633

Action

Revocation

Discipline Start Date

03/09/2005

Discipline Reason

Failed to comply with terms and conditions of Care and Counseling Agreement.