THAYER S PHELAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150431

License Status

ACTIVE

Business

Title

First Name

THAYER

Middle

Last Name

PHELAN

Business Name

THAYER S PHELAN MD

Original Issue Date

08/07/2019

Effective Date

08/23/2023

Expiration Date

07/31/2026

City

FORT COLLINS

State

Zip

80525

Ever Disciplined

LastModifiedDate

08/23/2023