KATHLEEN LYNN DONOVAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081670

License Status

EXPIRED

Business

Title

First Name

KATHLEEN

Middle

LYNN

Last Name

DONOVAN

Business Name

KATHLEEN LYNN DONOVAN MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Breast Fellowship

Ever Disciplined

LastModifiedDate

10/30/2024