GEORGE E DEPHILLIPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

GEORGE E

Last Name

DEPHILLIPS

Suffix

Business Name

GEORGE E DEPHILLIPS MD

Original Issue Date

08/30/2012

Effective Date

08/30/2012

Expiration Date

07/31/2014

City

PERU

State

Zip

61354

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020