KENNETH PAUL PHILLIPS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

First Name

KENNETH PAUL

Last Name

PHILLIPS

Suffix

Business Name

KENNETH PAUL PHILLIPS MD

Original Issue Date

08/18/1982

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60189

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023