PHILIP CHARLES TROTTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

PHILIP CHARLES

Last Name

TROTTA

Suffix

Business Name

PHILIP CHARLES TROTTA MD

Original Issue Date

09/29/1994

Effective Date

09/29/1994

Expiration Date

07/31/2005

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011