KIERAN J PHELAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087515

License Status

NOT RENEWED

Business

First Name

KIERAN J

Last Name

PHELAN

Suffix

Business Name

KIERAN J PHELAN MD

Original Issue Date

10/05/1993

Effective Date

10/05/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

04/20/2017