PHILLIP LEE ADMIRE III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

LEE

Last Name

ADMIRE

Suffix

III MD

Business Name

PHILLIP LEE ADMIRE III MD

Original Issue Date

03/10/2004

Effective Date

03/10/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008