AMY KATHLEEN MACDOUGALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127072

License Status

ACTIVE

Business

First Name

AMY

Middle

KATHLEEN

Last Name

MACDOUGALL

Suffix

Business Name

AMY KATHLEEN MACDOUGALL MD

Original Issue Date

01/10/2011

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/08/2023