STEPHEN TYLER PHILLIPS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061810

License Status

CANCELLED

Business

Title

First Name

STEPHEN

Middle

TYLER

Last Name

PHILLIPS

Business Name

STEPHEN TYLER PHILLIPS MD

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

06/21/2015

City

OAK LAWN

State

Zip

60453

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014