HELEN THERESA DONATELLI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

HELEN THERESA

Last Name

DONATELLI

Business Name

HELEN THERESA DONATELLI

Original Issue Date

09/12/1983

Effective Date

09/12/1983

Expiration Date

07/31/2002

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020