AMY KATHLEEN MACDOUGALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

AMY

Middle

KATHLEEN

Last Name

MACDOUGALL

Suffix

Business Name

AMY KATHLEEN MACDOUGALL MD

Original Issue Date

01/10/2011

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023