MICHAEL PATRICK PHILLIPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

PATRICK

Last Name

PHILLIPS

Suffix

Business Name

MICHAEL PATRICK PHILLIPS MD

Original Issue Date

07/17/1981

Effective Date

06/10/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014