JOSEPH M PHELAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020523

License Status

EXPIRED

Business

Title

First Name

JOSEPH

Middle

Last Name

PHELAN

Business Name

JOSEPH M PHELAN MD

Original Issue Date

04/22/1987

Effective Date

04/22/1987

Expiration Date

07/01/1990

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/22/2006