SUSAN MARY ODONNELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

SUSAN MARY

Last Name

ODONNELL

Suffix

Business Name

SUSAN MARY ODONNELL MD

Original Issue Date

01/23/1987

Effective Date

01/23/1987

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006