ELIZABETH MCDONNELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

CANCELLED

Business

First Name

ELIZABETH

Last Name

MCDONNELL

Suffix

Business Name

ELIZABETH MCDONNELL MD

Original Issue Date

09/10/2004

Effective Date

09/10/2004

Expiration Date

07/31/2008

City

SPARTA

State

Zip

62286

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011