PAUL WILLIAM PHILLIPS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050840

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

WILLIAM

Last Name

PHILLIPS

Business Name

PAUL WILLIAM PHILLIPS MD

Original Issue Date

06/25/2006

Effective Date

06/25/2006

Expiration Date

06/24/2009

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006