PHILLIP H BEHRENS III 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

PHILLIP H

Last Name

BEHRENS III

Suffix

Business Name

PHILLIP H BEHRENS III MD

Original Issue Date

01/26/1993

Effective Date

07/21/2011

Expiration Date

07/31/2014

City

ELDORADO

State

Zip

62930

County

SALINE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014