PHILLIP J DECHRISTOPHER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

PHILLIP J

Last Name

DECHRISTOPHER

Suffix

Business Name

PHILLIP J DECHRISTOPHER MD

Original Issue Date

06/25/1984

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023