MARK AARON PHILIPS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050876

License Status

CANCELLED

Business

First Name

MARK

Middle

AARON

Last Name

PHILIPS

Suffix

Business Name

MARK AARON PHILIPS DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/09/2007