ADAM PAUL PHILLIPS Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

ADAM

Middle

PAUL

Last Name

PHILLIPS

Business Name

ADAM PAUL PHILLIPS

Original Issue Date

09/22/2020

Effective Date

11/26/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025