MAXIE MCDONOUGH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068632

License Status

CANCELLED

Business

Title

First Name

MAXIE

Last Name

MCDONOUGH

Business Name

MAXIE MCDONOUGH MD

Original Issue Date

06/25/2016

Effective Date

06/25/2016

Expiration Date

06/24/2019

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/23/2016