MICHAEL ROBERT ODONNELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

MICHAEL ROBERT

Last Name

ODONNELL

Suffix

Business Name

MICHAEL ROBERT ODONNELL MD

Original Issue Date

07/10/1996

Effective Date

07/10/1996

Expiration Date

07/31/1999

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020