ROLAND T PHILLIPS III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131079

License Status

NOT RENEWED

Business

Title

First Name

ROLAND

Middle

Last Name

PHILLIPS

Suffix

III

Business Name

ROLAND T PHILLIPS III MD

Original Issue Date

08/07/2012

Effective Date

05/02/2014

Expiration Date

07/31/2017

City

BALLSTON SPA

State

Zip

12020

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017