MERRICK JAY DONENBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135131

License Status

ACTIVE

Business

Title

First Name

MERRICK

Middle

JAY

Last Name

DONENBERG

Business Name

MERRICK JAY DONENBERG MD

Original Issue Date

04/24/2014

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

OTTAWA

State

Zip

61350

County

COOK

Ever Disciplined

LastModifiedDate

07/18/2023