JAN ELIZABETH PHILLIPS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049779

License Status

CANCELLED

Business

First Name

JAN

Middle

ELIZABETH

Last Name

PHILLIPS

Suffix

Business Name

JAN ELIZABETH PHILLIPS MD

Original Issue Date

06/25/2005

Effective Date

06/25/2005

Expiration Date

06/24/2008

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006