JERALD A DONOVAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020848

License Status

EXPIRED

Business

First Name

JERALD

Middle

Last Name

DONOVAN

Business Name

JERALD A DONOVAN

Original Issue Date

05/15/1987

Effective Date

05/15/1987

Expiration Date

01/23/1990

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006