LYNNE L FENTON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019419

License Status

EXPIRED

Business

First Name

LYNNE L

Last Name

FENTON

Suffix

Business Name

LYNNE L FENTON MD

Original Issue Date

06/12/1986

Effective Date

06/12/1986

Expiration Date

06/24/1989

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006