TIMOTHY MARTIN PHILLIPS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

MARTIN

Last Name

PHILLIPS

Business Name

TIMOTHY MARTIN PHILLIPS MD

Original Issue Date

06/08/2020

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63104

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023