PHILIP D WITKOP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

PHILIP

Middle

Last Name

WITKOP

Suffix

Business Name

PHILIP D WITKOP MD

Original Issue Date

10/13/1998

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHATHAM

State

Zip

62629

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023