PAT DUANE O'DONNELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112655

License Status

NOT RENEWED

Business

First Name

PAT

Middle

DUANE

Last Name

O'DONNELL

Suffix

Business Name

PAT DUANE O'DONNELL MD

Original Issue Date

11/15/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/18/2009