DANIEL PHILLIPS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

CANCELLED

Business

First Name

DANIEL

Last Name

PHILLIPS

Suffix

Business Name

DANIEL PHILLIPS MD

Original Issue Date

03/31/1989

Effective Date

03/31/1989

Expiration Date

07/31/2002

City

HIGHLAND

State

Zip

62249

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006