JAMES R PHELAN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054031

License Status

NOT RENEWED

Business

First Name

JAMES R

Last Name

PHELAN JR

Suffix

Business Name

JAMES R PHELAN JR MD

Original Issue Date

12/14/1976

Effective Date

12/14/1976

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006