STEVEN W PHILLIPS Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

STEVEN W

Last Name

PHILLIPS

Business Name

STEVEN W PHILLIPS

Original Issue Date

07/26/1994

Effective Date

07/26/1994

Expiration Date

01/31/1999

City

SAVANNA

State

Zip

61074

County

CARROLL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006