BROCK ANDREW PHILLIPS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

Title

First Name

BROCK

Middle

ANDREW

Last Name

PHILLIPS

Business Name

BROCK ANDREW PHILLIPS MD

Original Issue Date

05/04/2020

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

CHATHAM

State

Zip

62629

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023