MICHAEL JOHN CONNOLLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

JOHN

Last Name

CONNOLLY

Business Name

MICHAEL JOHN CONNOLLY MD

Original Issue Date

05/24/2023

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/22/2023