PHILIP B OLIVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

PHILIP B

Last Name

OLIVA

Suffix

Business Name

PHILIP B OLIVA MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006