JOSHUA DAVID PHILLIPS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136556

License Status

INACTIVE

Business

Title

First Name

JOSHUA

Middle

DAVID

Last Name

PHILLIPS

Business Name

JOSHUA DAVID PHILLIPS MD

Original Issue Date

09/24/2014

Effective Date

09/24/2014

Expiration Date

07/31/2017

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/12/2017