JOSHUA DAVID PHILLIPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

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

MILWAUKEE

State

Zip

53211

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017