KELLY LYNN DONOHUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

LYNN

Last Name

DONOHUE

Business Name

KELLY LYNN DONOHUE MD

Original Issue Date

05/15/2023

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

MCHENRY

State

Zip

60050

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2023