DANIEL PHILLIPS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069727

License Status

INACTIVE

Business

First Name

DANIEL

Last Name

PHILLIPS

Suffix

Business Name

DANIEL PHILLIPS MD

Original Issue Date

10/31/1984

Effective Date

10/31/1984

Expiration Date

07/31/2002

City

SAINT LOUIS

State

Zip

63131

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006