TIMOTHY LEE CONNELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060683

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

LEE

Last Name

CONNELLY

Suffix

Business Name

TIMOTHY LEE CONNELLY MD

Original Issue Date

07/25/1980

Effective Date

05/31/2017

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021