K J PHILIP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

K J

Last Name

PHILIP

Suffix

Business Name

K J PHILIP MD

Original Issue Date

01/01/1997

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023