ELLIOTT RICHARD PHILLIPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

ELLIOTT RICHARD

Last Name

PHILLIPS

Suffix

Business Name

ELLIOTT RICHARD PHILLIPS MD

Original Issue Date

11/06/1995

Effective Date

11/06/1995

Expiration Date

07/31/1996

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006