VIRGINIA M DOLAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

VIRGINIA M

Last Name

DOLAN

Suffix

Business Name

VIRGINIA M DOLAN MD

Original Issue Date

06/29/1989

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023