MARY BETH PHELAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081494

License Status

NOT RENEWED

Business

First Name

MARY BETH

Last Name

PHELAN

Suffix

Business Name

MARY BETH PHELAN MD

Original Issue Date

09/18/1990

Effective Date

09/18/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006