MICHAEL SHAWN DONOGHUE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

SHAWN

Last Name

DONOGHUE

Suffix

DDS

Business Name

MICHAEL SHAWN DONOGHUE DDS

Original Issue Date

07/23/2012

Effective Date

07/23/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60638

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016