BURT WILLIAM PHILLIPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037776

License Status

NOT RENEWED

Business

First Name

BURT WILLIAM

Last Name

PHILLIPS

Suffix

Business Name

BURT WILLIAM PHILLIPS MD

Original Issue Date

06/15/1962

Effective Date

06/15/1962

Expiration Date

07/31/1987

City

WHITE PLAINS

State

Zip

10604

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006