KEITH B MACDONELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

KEITH B

Last Name

MACDONELL

Suffix

Business Name

KEITH B MACDONELL MD

Original Issue Date

04/09/1986

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023