ALEXANDER K PHILLIPS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

ALEXANDER

Middle

Last Name

PHILLIPS

Business Name

ALEXANDER K PHILLIPS DO

Original Issue Date

09/16/2004

Effective Date

07/31/2024

Expiration Date

07/31/2026

City

ELIZABETH

State

Zip

61028

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023