STEPHEN W PHILLIPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065880

License Status

NOT RENEWED

Business

First Name

STEPHEN W

Last Name

PHILLIPS

Suffix

Business Name

STEPHEN W PHILLIPS MD

Original Issue Date

12/22/1982

Effective Date

12/22/1982

Expiration Date

07/31/2002

City

BLOOMINGTON

State

Zip

47402

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006