MICHAEL WILLIAM DONAHUE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

First Name

MICHAEL WILLIAM

Last Name

DONAHUE

Business Name

MICHAEL WILLIAM DONAHUE

Original Issue Date

07/28/1982

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

OAK FOREST

State

Zip

60452

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2024