License holder summary

Dr. CHARLES Robert PHILLIPS is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. CHARLES Robert PHILLIPS is 1700 SW MARTHA ST PORTLAND OR 97239. This licensed professional license is not current. The license was granted 12/14/2012 and expired on 08/01/2016.

Idaho

Division of Occupational and Professional Licenses

Dr. CHARLES Robert PHILLIPS
Board Of Medicine
License number
M-11860
Date granted
12/14/2012
Date expires
08/01/2016
Class
Board Of Medicine
Status
Canceled
Address
1700 SW MARTHA ST PORTLAND OR 97239
idaholicensing.com
ID 48352529
LAST UPDATED 2024-01-20 20:36:26 UTC

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