DAVID E PHILLIPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058635

License Status

NOT RENEWED

Business

First Name

DAVID E

Last Name

PHILLIPS

Suffix

Business Name

DAVID E PHILLIPS MD

Original Issue Date

05/17/1979

Effective Date

05/17/1979

Expiration Date

07/31/1984

City

WALPOLE

State

Zip

02081

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006