PHILLIP J ROSSI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

PHILLIP J

Last Name

ROSSI

Suffix

Business Name

PHILLIP J ROSSI MD

Original Issue Date

08/02/1994

Effective Date

08/21/2023

Expiration Date

07/31/2026

City

HOPEDALE

State

Zip

61747

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2023