ASHLEY NICOLE FENERAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

Title

First Name

ASHLEY

Middle

NICOLE

Last Name

FENERAN

Business Name

ASHLEY NICOLE FENERAN DO

Original Issue Date

01/11/2016

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021