ERIC DONALD DONNELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130164

License Status

ACTIVE

Business

Title

First Name

ERIC

Middle

DONALD

Last Name

DONNELLY

Business Name

ERIC DONALD DONNELLY MD

Original Issue Date

04/20/2012

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/30/2025