JACQUELINE M PHELAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024827

License Status

EXPIRED

Business

First Name

JACQUELINE M

Last Name

PHELAN

Business Name

JACQUELINE M PHELAN

Original Issue Date

05/17/1990

Effective Date

05/17/1990

Expiration Date

06/19/1993

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006