JOSEPH D PHANEUF MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020855

License Status

EXPIRED

Business

First Name

JOSEPH D

Last Name

PHANEUF

Suffix

Business Name

JOSEPH D PHANEUF MD

Original Issue Date

05/18/1987

Effective Date

05/18/1987

Expiration Date

06/22/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006