MATHEW TODD PHILLIPS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143518

License Status

ACTIVE

Business

Title

First Name

MATHEW

Middle

TODD

Last Name

PHILLIPS

Business Name

MATHEW TODD PHILLIPS MD

Original Issue Date

06/16/2017

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LOUISVILLE

State

Zip

40220

Ever Disciplined

LastModifiedDate

04/07/2023