STEVEN W PHILLIPS Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****32

License Status

CANCELLED

Business

First Name

STEVEN W

Last Name

PHILLIPS

Business Name

STEVEN W PHILLIPS

Original Issue Date

09/30/1991

Effective Date

09/30/1991

Expiration Date

01/31/1993

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006