RICHARD LEE PHILLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

RICHARD LEE

Last Name

PHILLIS

Suffix

Business Name

RICHARD LEE PHILLIS MD

Original Issue Date

05/04/1989

Effective Date

05/04/1989

Expiration Date

07/31/1993

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020