PHILLIP DALE BARNELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017581

License Status

EXPIRED

Business

First Name

PHILLIP DALE

Last Name

BARNELL

Suffix

Business Name

PHILLIP DALE BARNELL MD

Original Issue Date

07/25/1984

Effective Date

07/25/1984

Expiration Date

06/25/1986

City

LAGRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006