PETER M MAC ENEANEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105241

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

MAC ENEANEY

Business Name

PETER M MAC ENEANEY

Original Issue Date

07/18/2001

Effective Date

07/18/2001

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006