JOHN E CONNOLLY JR MD - Medical Doctor License in Illinois | # 125030316

JOHN E CONNOLLY JR MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030316

License Status

EXPIRED

Business

N

First Name

JOHN

Middle

E

Last Name

CONNOLLY

Suffix

JR MD

Business Name

JOHN E CONNOLLY JR MD

Original Issue Date

06/14/1993

Effective Date

06/14/1993

Expiration Date

06/30/1996

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

09/22/2006