MICHAEL COLLINS SCANNELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

COLLINS

Last Name

SCANNELL

Suffix

Business Name

MICHAEL COLLINS SCANNELL MD

Original Issue Date

02/01/1999

Effective Date

02/01/1999

Expiration Date

07/31/2002

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006