IRENE F CONNOLLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

IRENE

Middle

Last Name

CONNOLLY

Suffix

Business Name

IRENE F CONNOLLY MD

Original Issue Date

06/28/2000

Effective Date

06/28/2000

Expiration Date

07/31/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006