BETH DAVIS PHILLPOTTS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

BETH

Last Name

DAVIS PHILLPOTTS

Business Name

BETH DAVIS PHILLPOTTS

Original Issue Date

10/20/1995

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023