GORDON L PHILLIPS II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055195

License Status

NOT RENEWED

Business

First Name

GORDON L

Last Name

PHILLIPS II

Suffix

Business Name

GORDON L PHILLIPS II MD

Original Issue Date

07/22/1977

Effective Date

07/22/1977

Expiration Date

07/31/1984

City

ST LOUIS

State

Zip

63104

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006