PHILIP T SUAREZ MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

INOPERATIVE

Business

First Name

PHILIP T

Last Name

SUAREZ

Suffix

Business Name

PHILIP T SUAREZ MD

Original Issue Date

07/17/1990

Effective Date

07/17/1990

Expiration Date

07/31/1993

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006