JOHN THOMAS O'CONNELL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030809

License Status

EXPIRED

Business

First Name

JOHN THOMAS

Last Name

O'CONNELL

Suffix

Business Name

JOHN THOMAS O'CONNELL DO

Original Issue Date

02/03/1994

Effective Date

02/03/1994

Expiration Date

02/01/1997

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006