DERWIN A PHILLIP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

Title

First Name

DERWIN

Middle

Last Name

PHILLIP

Business Name

DERWIN A PHILLIP MD

Original Issue Date

02/18/2016

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023