ROLAND T PHILLIPS III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

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

08/07/2012

Expiration Date

07/31/2014

City

SARATOGA SPRINGS

State

Zip

12866

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017