TYCEL JOUELLE PHILLIPS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051273

License Status

EXPIRED

Business

First Name

TYCEL

Middle

JOUELLE

Last Name

PHILLIPS

Suffix

Business Name

TYCEL JOUELLE PHILLIPS MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009