KATHERINE GUCCIONE PHELPS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082139

License Status

ACTIVE

Business

Title

First Name

KATHERINE

Middle

GUCCIONE

Last Name

PHELPS

Business Name

KATHERINE GUCCIONE PHELPS DO

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2026

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/28/2023