PHILLIP WILLIAM CARMODY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100834

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

WILLIAM

Last Name

CARMODY

Suffix

Business Name

PHILLIP WILLIAM CARMODY MD

Original Issue Date

07/30/1999

Effective Date

07/30/1999

Expiration Date

07/31/2002

City

ALBUQUERQUE

State

Zip

87110

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/09/2006