DONNA ELLEN NEWSOME MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

Title

First Name

DONNA

Middle

ELLEN

Last Name

NEWSOME

Business Name

DONNA ELLEN NEWSOME MD

Original Issue Date

07/16/2020

Effective Date

07/16/2020

Expiration Date

07/31/2023

City

WAUKEGAN

State

Zip

60085

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023