MELODY MARIE PHILLIPS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061226

License Status

EXPIRED

Business

Title

First Name

MELODY

Middle

MARIE

Last Name

PHILLIPS

Business Name

MELODY MARIE PHILLIPS MD

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/24/2015

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/04/2015