PAMELA S FENNEWALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057870

License Status

NOT RENEWED

Business

First Name

PAMELA S

Last Name

FENNEWALD

Suffix

Business Name

PAMELA S FENNEWALD MD

Original Issue Date

10/23/1978

Effective Date

09/30/2020

Expiration Date

07/31/2023

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

11/30/2023