ROBERT JOHN CONNELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

JOHN

Last Name

CONNELLY

Suffix

Business Name

ROBERT JOHN CONNELLY MD

Original Issue Date

10/01/2003

Effective Date

06/04/2020

Expiration Date

07/31/2023

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023