BERNARD A DONNELLY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036029692

License Status

INACTIVE

Business

First Name

BERNARD A

Last Name

DONNELLY

Suffix

Business Name

BERNARD A DONNELLY MD

Original Issue Date

10/07/1949

Effective Date

10/07/1949

Expiration Date

07/31/1993

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

09/20/2006