KEIREN C DONOVAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

KEIREN C

Last Name

DONOVAN

Suffix

Business Name

KEIREN C DONOVAN MD

Original Issue Date

07/20/1983

Effective Date

07/20/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006