JEFFREY F PHILLIPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

JEFFREY F

Last Name

PHILLIPS

Suffix

Business Name

JEFFREY F PHILLIPS MD

Original Issue Date

06/03/1993

Effective Date

06/03/1993

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006