KENNETH D PHILLIPS JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087519

License Status

ACTIVE

Business

First Name

KENNETH D

Last Name

PHILLIPS JR

Suffix

Business Name

KENNETH D PHILLIPS JR MD

Original Issue Date

10/05/1993

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

CAPE GIRARDEAU

State

Zip

63703

Ever Disciplined

LastModifiedDate

06/07/2023