MATTHEW CONNOLLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001316

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Last Name

CONNOLLY

Business Name

MATTHEW CONNOLLY MD

Original Issue Date

01/13/2020

Effective Date

01/13/2020

Expiration Date

07/12/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

11/19/2020