BRYAN J PHILLIPS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

BRYAN

Middle

Last Name

PHILLIPS

Business Name

BRYAN J PHILLIPS

Original Issue Date

06/22/1998

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60490

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2023