SEAN DANIEL CONNOLLY DO 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

Title

First Name

SEAN

Middle

DANIEL

Last Name

CONNOLLY

Business Name

SEAN DANIEL CONNOLLY DO

Original Issue Date

03/16/2017

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021