PHILIP HERMAN DENNIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

PHILIP HERMAN

Last Name

DENNIS

Suffix

Business Name

PHILIP HERMAN DENNIS MD

Original Issue Date

11/13/1985

Effective Date

11/13/1985

Expiration Date

07/31/1996

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020