DAVID S PHILLIPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

DAVID S

Last Name

PHILLIPS

Suffix

Business Name

DAVID S PHILLIPS MD

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

07/31/1996

City

HANOVER PARK

State

Zip

60103

County

COOK

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020