PHILLIP HARRISON HENRY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072585

License Status

CANCELLED

Business

Title

First Name

PHILLIP

Middle

HARRISON

Last Name

HENRY

Business Name

PHILLIP HARRISON HENRY MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

02/23/2022