CHRISTOPHER B PHILLIPS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

CANCELLED

Business

First Name

CHRISTOPHER

Middle

Last Name

PHILLIPS

Suffix

Business Name

CHRISTOPHER B PHILLIPS MD

Original Issue Date

12/14/2006

Effective Date

12/14/2006

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008