KEITH A PHILLIPS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095381

License Status

INACTIVE

Business

First Name

KEITH A

Last Name

PHILLIPS

Suffix

Business Name

KEITH A PHILLIPS MD

Original Issue Date

04/23/1997

Effective Date

04/23/1997

Expiration Date

07/31/1999

City

EVANSVILLE

State

Zip

47711

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006