JOHN M PHELAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072669

License Status

NOT RENEWED

Business

First Name

JOHN M

Last Name

PHELAN

Suffix

Business Name

JOHN M PHELAN MD

Original Issue Date

05/02/1986

Effective Date

05/02/1986

Expiration Date

07/31/1996

City

FITZBURG

State

Zip

53711

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006