DAVID S PHILLIPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

DAVID S

Last Name

PHILLIPS

Suffix

Business Name

DAVID S PHILLIPS MD

Original Issue Date

04/14/2003

Effective Date

04/30/2020

Expiration Date

07/31/2023

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023