TRICIA LYNN FYNEWEVER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044650

License Status

EXPIRED

Business

First Name

TRICIA

Middle

LYNN

Last Name

FYNEWEVER

Suffix

Business Name

TRICIA LYNN FYNEWEVER MD

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/23/2005

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006