LELAND A PHIPPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

LELAND A

Last Name

PHIPPS

Suffix

Business Name

LELAND A PHIPPS MD

Original Issue Date

08/14/1981

Effective Date

05/22/2014

Expiration Date

07/31/2017

City

PARIS

State

Zip

61944

County

EDGAR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017