MAXIE MCDONOUGH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148652

License Status

ACTIVE

Business

Title

First Name

MAXIE

Last Name

MCDONOUGH

Business Name

MAXIE MCDONOUGH MD

Original Issue Date

03/19/2019

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

06/27/2023