PHILLIP DALE BARNELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

PHILLIP DALE

Last Name

BARNELL

Suffix

Business Name

PHILLIP DALE BARNELL MD

Original Issue Date

12/26/1985

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SEYMOUR

State

Zip

61875

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023