PAT DUANE O'DONNELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

PAT

Middle

DUANE

Last Name

O'DONNELL

Suffix

Business Name

PAT DUANE O'DONNELL MD

Original Issue Date

11/15/2004

Effective Date

11/15/2004

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/11/2010