PHILLIP LEWIS BARKLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

PHILLIP LEWIS

Last Name

BARKLEY

Suffix

Business Name

PHILLIP LEWIS BARKLEY MD

Original Issue Date

09/04/1985

Effective Date

09/04/1985

Expiration Date

07/31/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006