MITCHELL L PHILLIPS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071591

License Status

CANCELLED

Business

Title

First Name

MITCHELL

Middle

Last Name

PHILLIPS

Business Name

MITCHELL L PHILLIPS MD

Original Issue Date

08/01/2018

Effective Date

08/01/2018

Expiration Date

07/31/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Anesthesiology

Ever Disciplined

LastModifiedDate

03/05/2018