JEFFREY SCOTT PHELAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120812

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

SCOTT

Last Name

PHELAN

Business Name

JEFFREY SCOTT PHELAN

Original Issue Date

05/07/2008

Effective Date

05/07/2008

Expiration Date

07/31/2011

City

SAINT PAUL

State

Zip

55101

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/14/2011