KATHLEEN ELIZABETH MCDONOUGH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051044

License Status

EXPIRED

Business

First Name

KATHLEEN

Middle

ELIZABETH

Last Name

MCDONOUGH

Suffix

Business Name

KATHLEEN ELIZABETH MCDONOUGH MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60644

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/15/2009