RALPH G FENNELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078271

License Status

NOT RENEWED

Business

First Name

RALPH G

Last Name

FENNELL

Suffix

Business Name

RALPH G FENNELL MD

Original Issue Date

12/20/1988

Effective Date

12/20/1988

Expiration Date

07/31/1996

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006