PAUL O PHELPS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057991

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

Last Name

PHELPS

Business Name

PAUL O PHELPS MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60614

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

04/26/2011