NICHOLAS PHILLIPS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001559

License Status

EXPIRED

Business

Title

First Name

NICHOLAS

Last Name

PHILLIPS

Business Name

NICHOLAS PHILLIPS MD

Original Issue Date

08/21/2023

Effective Date

08/21/2023

Expiration Date

02/20/2024

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

01/08/2025