DAWN RENEE PHILLIPS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

DAWN

Middle

RENEE

Last Name

PHILLIPS

Business Name

DAWN RENEE PHILLIPS

Original Issue Date

03/25/2005

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60490

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023