PHILIPPA M DEVENNEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

Title

First Name

PHILIPPA

Middle

Last Name

DEVENNEY

Business Name

PHILIPPA M DEVENNEY MD

Original Issue Date

08/21/1998

Effective Date

12/12/2024

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/12/2024