PHILLIP A D HIGGINS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

PHILLIP A D

Last Name

HIGGINS

Suffix

Business Name

PHILLIP A D HIGGINS MD

Original Issue Date

02/29/1988

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023