WILLIE L DONALD JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

Title

First Name

WILLIE

Middle

Last Name

DONALD

Suffix

Business Name

WILLIE L DONALD JR MD

Original Issue Date

01/01/1997

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020