WILLIE L DONALD JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057003

License Status

ACTIVE

Business

Title

First Name

WILLIE

Middle

Last Name

DONALD

Suffix

Business Name

WILLIE L DONALD JR MD

Original Issue Date

07/10/1978

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

07/18/2023