JACQUELINE M PHELAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084865

License Status

NOT RENEWED

Business

First Name

JACQUELINE M

Last Name

PHELAN

Business Name

JACQUELINE M PHELAN

Original Issue Date

07/16/1992

Effective Date

07/16/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

02/15/2017