JOSEPH DAVID PHILLIPS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052829

License Status

CANCELLED

Business

Title

First Name

JOSEPH

Middle

DAVID

Last Name

PHILLIPS

Business Name

JOSEPH DAVID PHILLIPS MD

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

06/17/2010

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/11/2007