DONALD J HENNESSY JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

Title

First Name

DONALD

Middle

Last Name

HENNESSY

Suffix

Business Name

DONALD J HENNESSY JR MD

Original Issue Date

06/28/1983

Effective Date

06/28/1983

Expiration Date

07/31/1987

City

AURORA

State

Zip

60505

County

KANE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006