PHILLIP D BARRETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

Last Name

BARRETT

Suffix

Business Name

PHILLIP D BARRETT MD

Original Issue Date

01/05/1990

Effective Date

01/05/1990

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006