PHILLIP R PERRINEZ 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

Last Name

PERRINEZ

Business Name

PHILLIP R PERRINEZ MD

Original Issue Date

10/15/2020

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

NORTH CHICAGO

State

Zip

60064

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023