PHILLIP HARRISON HENRY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

PHILLIP

Middle

HARRISON

Last Name

HENRY

Business Name

PHILLIP HARRISON HENRY MD

Original Issue Date

11/18/2022

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023