MICHAEL EMMETT MCKENNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

MICHAEL EMMETT

Last Name

MCKENNA

Suffix

Business Name

MICHAEL EMMETT MCKENNA MD

Original Issue Date

01/01/1997

Effective Date

07/15/2014

Expiration Date

07/31/2017

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020