ELLIOTT RICHARD PHILLIPS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092050

License Status

INACTIVE

Business

First Name

ELLIOTT RICHARD

Last Name

PHILLIPS

Suffix

Business Name

ELLIOTT RICHARD PHILLIPS MD

Original Issue Date

10/25/1995

Effective Date

10/25/1995

Expiration Date

07/31/1996

City

ST LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006