ARIEL NICOLE MAGALLON DONNELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165634

License Status

ACTIVE

Business

Title

First Name

ARIEL

Middle

NICOLE

Last Name

MAGALLON DONNELLY

Business Name

ARIEL NICOLE MAGALLON DONNELLY MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

07/01/2023