RICHARD WARREN MCDONNELL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

INACTIVE

Business

First Name

RICHARD WARREN

Last Name

MCDONNELL

Suffix

Business Name

RICHARD WARREN MCDONNELL MD

Original Issue Date

04/23/2003

Effective Date

06/24/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014