EILEEN M MAHONEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

EILEEN M

Last Name

MAHONEY

Business Name

EILEEN M MAHONEY

Original Issue Date

05/22/1995

Effective Date

05/22/1995

Expiration Date

07/31/2005

City

LA GRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020