BRIAN B DONAHUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

DONAHUE

Suffix

Business Name

BRIAN B DONAHUE MD

Original Issue Date

09/04/2001

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023