The holder whose full name is MC CREEDY, PHILIP ALLEN,come from SAN JOSE CA,hold the Physician license(NO.01039646A) which status is Revoked.
| Name | MC CREEDY, PHILIP ALLEN |
|---|---|
| License Number | 01039646A |
| License Type | Physician |
| License Status | Revoked |
| City | SAN JOSE |
| State | CA |