MICHAEL E CONNOLLY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

CONNOLLY

Business Name

MICHAEL E CONNOLLY

Original Issue Date

11/19/2002

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023