DEANNA M FENOUGHTY MD

Licensed Physician Controlled Substance

Illinois  336047574   Not Renewed

This Illinois license was held by DEANNA M FENOUGHTY MD. The license is no longer active. It was granted on 02/20/1996 and expired on 07/31/2002

LICENSE DETAILS

  • License Number: 336047574
  • Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
  • Status: Not Renewed
  • Date Granted: 02/20/1996 (over 28 years ago)
  • Expiry Date: 07/31/2002 (almost 22 years ago)

LOCATIONS

A Address

AVON, IN 46123