RICHARD LEE PHILLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

RICHARD LEE

Last Name

PHILLIS

Suffix

Business Name

RICHARD LEE PHILLIS MD

Original Issue Date

01/01/1997

Effective Date

11/12/2020

Expiration Date

07/31/2023

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023