RANDALL PHILLIPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067401

License Status

NOT RENEWED

Business

First Name

RANDALL

Last Name

PHILLIPS

Suffix

Business Name

RANDALL PHILLIPS MD

Original Issue Date

08/31/1983

Effective Date

08/31/1983

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006