CONSTANCE PHILIPS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086559

License Status

INACTIVE

Business

First Name

CONSTANCE

Last Name

PHILIPS

Suffix

Business Name

CONSTANCE PHILIPS MD

Original Issue Date

06/22/1993

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

04/08/2014