MICHAEL A DONNELLY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

MICHAEL A

Last Name

DONNELLY

Suffix

Business Name

MICHAEL A DONNELLY DO

Original Issue Date

09/28/1987

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023