PHILIP HERMAN DENNIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

PHILIP HERMAN

Last Name

DENNIS

Suffix

Business Name

PHILIP HERMAN DENNIS MD

Original Issue Date

12/14/1990

Effective Date

12/14/1990

Expiration Date

07/31/2002

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020