LAYNE ALEXANDER PHILLIPS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

LAYNE

Middle

ALEXANDER

Last Name

PHILLIPS

Business Name

LAYNE ALEXANDER PHILLIPS DO

Original Issue Date

09/16/2014

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023