KATHLEEN WREN PHELAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

KATHLEEN

Middle

WREN

Last Name

PHELAN

Suffix

Business Name

KATHLEEN WREN PHELAN MD

Original Issue Date

07/11/2008

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023