MICHAEL LAWRENCE DIDONNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

LAWRENCE

Last Name

DIDONNA

Suffix

Business Name

MICHAEL LAWRENCE DIDONNA MD

Original Issue Date

03/14/2002

Effective Date

03/14/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020