MATTHEW CONNOLLY MD - Medical Doctor License in Illinois | # 130001316

MATTHEW CONNOLLY MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001316

License Status

EXPIRED

Business

N

Title

MD

First Name

MATTHEW

Last Name

CONNOLLY

Business Name

MATTHEW CONNOLLY MD

Original Issue Date

01/13/2020

Effective Date

01/13/2020

Expiration Date

07/12/2020

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

11/19/2020