MARY BETH PHELAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

MARY BETH

Last Name

PHELAN

Suffix

Business Name

MARY BETH PHELAN MD

Original Issue Date

10/30/1990

Effective Date

10/30/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60603

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

09/26/2006