JAMES W PHOENIX MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

JAMES W

Last Name

PHOENIX

Suffix

Business Name

JAMES W PHOENIX MD

Original Issue Date

01/01/1997

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023