PHILIP A FIFIELD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

First Name

PHILIP A

Last Name

FIFIELD

Suffix

Business Name

PHILIP A FIFIELD MD

Original Issue Date

08/05/1985

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023