MICHAEL J FENELON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066800

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

FENELON

Suffix

Business Name

MICHAEL J FENELON MD

Original Issue Date

06/29/1983

Effective Date

06/29/1983

Expiration Date

07/31/1990

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

08/30/2007

Case Number

2007003124

Action

Refuse To Renew

Discipline Start Date

08/30/2007

Discipline Reason

after being disciplined in the state of Indiana.