MARK AARON PHILIPS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122532

License Status

NOT RENEWED

Business

First Name

MARK

Middle

AARON

Last Name

PHILIPS

Suffix

Business Name

MARK AARON PHILIPS DO

Original Issue Date

01/30/2009

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

SALEM

State

Zip

53168

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014