PHILIP JASON CLAPHAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071165

License Status

EXPIRED

Business

Title

First Name

PHILIP

Middle

JASON

Last Name

CLAPHAM

Business Name

PHILIP JASON CLAPHAM MD

Original Issue Date

08/01/2019

Effective Date

08/01/2019

Expiration Date

07/31/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Infectious Disease Advanced Training/Research

Ever Disciplined

LastModifiedDate

11/19/2020