KENNETH J PHILLIPS JR MD
Temporary Medical Permit
Illinois 125019254 Expired
This Illinois license was held by KENNETH J PHILLIPS JR MD. The license is no longer active. It was granted on 05/22/1986 and expired on 06/27/1989
LICENSE DETAILS
- License Number: 125019254
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 05/22/1986 (about 39 years ago)
- Expiry Date: 06/27/1989 (almost 36 years ago)
LOCATIONS
A Address
NASHVILLE, IL 62263