MATTHEW DAVID PHILLIPS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074973

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

DAVID

Last Name

PHILLIPS

Business Name

MATTHEW DAVID PHILLIPS MD

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/01/2022