ELVIS S DONALDSON JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046597

License Status

NOT RENEWED

Business

First Name

ELVIS S

Last Name

DONALDSON JR

Suffix

Business Name

ELVIS S DONALDSON JR MD

Original Issue Date

10/19/1972

Effective Date

10/19/1972

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006