KIERAN J PHELAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026220

License Status

EXPIRED

Business

First Name

KIERAN J

Last Name

PHELAN

Suffix

Business Name

KIERAN J PHELAN MD

Original Issue Date

04/22/1991

Effective Date

04/22/1991

Expiration Date

06/18/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006