MARYANN PHILLIPPI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

MARYANN

Last Name

PHILLIPPI

Business Name

MARYANN PHILLIPPI

Original Issue Date

06/21/1999

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

HARBOR SPRINGS

State

Zip

49740

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023