KATHLEEN WREN PHELAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049690

License Status

EXPIRED

Business

First Name

KATHLEEN

Middle

WREN

Last Name

PHELAN

Suffix

Business Name

KATHLEEN WREN PHELAN MD

Original Issue Date

06/22/2005

Effective Date

06/22/2005

Expiration Date

06/21/2008

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008