MICHAEL SHAWN DONOGHUE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

SHAWN

Last Name

DONOGHUE

Suffix

DDS

Business Name

MICHAEL SHAWN DONOGHUE DDS

Original Issue Date

05/20/2008

Effective Date

05/20/2008

Expiration Date

09/30/2009

City

GREAT LAKES

State

Zip

60088

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009