PETER M MAC ENEANEY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040424

License Status

EXPIRED

Business

First Name

PETER

Middle

Last Name

MAC ENEANEY

Business Name

PETER M MAC ENEANEY

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neuroradiology

Ever Disciplined

LastModifiedDate

09/22/2006