TIMOTHY LEE CONNELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

LEE

Last Name

CONNELLY

Suffix

Business Name

TIMOTHY LEE CONNELLY MD

Original Issue Date

01/01/1997

Effective Date

05/31/2017

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021