DAVID MATTHEW DONAHUE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094921

License Status

NOT RENEWED

Business

First Name

DAVID MATTHEW

Last Name

DONAHUE

Suffix

Business Name

DAVID MATTHEW DONAHUE DO

Original Issue Date

03/03/1997

Effective Date

03/03/1997

Expiration Date

07/31/2002

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/09/2006