MICHAEL E CONNOLLY - Medical Doctor License in Illinois | # 125039700

MICHAEL E CONNOLLY

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039700

License Status

EXPIRED

Business

N

First Name

MICHAEL

Middle

E

Last Name

CONNOLLY

Business Name

MICHAEL E CONNOLLY

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

12/28/2002

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006