ANNMARIE S MCDONAGH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

ANNMARIE

Middle

Last Name

MCDONAGH

Business Name

ANNMARIE S MCDONAGH MD

Original Issue Date

07/05/2018

Effective Date

05/14/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2023