EDMUND ROCHE DONOGHUE JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

EDMUND ROCHE

Last Name

DONOGHUE JR

Suffix

Business Name

EDMUND ROCHE DONOGHUE JR MD

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020