ELSEWORTH L PHILIP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

ELSEWORTH L

Last Name

PHILIP

Suffix

Business Name

ELSEWORTH L PHILIP MD

Original Issue Date

07/23/1990

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020