PHILLIP DOUGLAS MARTINEZ-KNOUSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

Title

First Name

PHILLIP

Middle

DOUGLAS

Last Name

MARTINEZ-KNOUSE

Business Name

PHILLIP DOUGLAS MARTINEZ-KNOUSE MD

Original Issue Date

06/19/2019

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023