SCOTT MICHAEL O'DONNELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051525

License Status

CANCELLED

Business

First Name

SCOTT

Middle

MICHAEL

Last Name

O'DONNELL

Suffix

Business Name

SCOTT MICHAEL O'DONNELL MD

Original Issue Date

06/25/2006

Effective Date

06/25/2006

Expiration Date

06/24/2009

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006