PATRICK EDWARD PHELAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

PATRICK

Middle

EDWARD

Last Name

PHELAN

Business Name

PATRICK EDWARD PHELAN MD

Original Issue Date

04/30/1997

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023