MARK PHILLIPPE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070262

License Status

INACTIVE

Business

First Name

MARK

Last Name

PHILLIPPE

Suffix

Business Name

MARK PHILLIPPE MD

Original Issue Date

03/29/1985

Effective Date

03/29/1985

Expiration Date

07/31/2002

City

SHELBURNE

State

Zip

05482

County

VERMONT

Ever Disciplined

LastModifiedDate

10/09/2006