MARK M CONNOLLY MD 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

MARK M

Last Name

CONNOLLY

Suffix

Business Name

MARK M CONNOLLY MD

Original Issue Date

04/15/1982

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023