TIMOTHY MARTIN PHILLIPS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147802

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

MARTIN

Last Name

PHILLIPS

Business Name

TIMOTHY MARTIN PHILLIPS MD

Original Issue Date

12/05/2018

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

06/06/2023