JACQUELINE M PHELAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

JACQUELINE M

Last Name

PHELAN

Business Name

JACQUELINE M PHELAN

Original Issue Date

08/20/1993

Effective Date

08/20/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006