DEBBIE A DONELSON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

DEBBIE

Middle

Last Name

DONELSON

Business Name

DEBBIE A DONELSON

Original Issue Date

06/28/2000

Effective Date

08/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2023