RICHARD WARREN MCDONNELL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056310

License Status

INACTIVE

Business

First Name

RICHARD WARREN

Last Name

MCDONNELL

Suffix

Business Name

RICHARD WARREN MCDONNELL MD

Original Issue Date

01/19/1978

Effective Date

06/24/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

04/08/2014