ARIEL NICOLE MAGALLON DONNELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

Title

First Name

ARIEL

Middle

NICOLE

Last Name

MAGALLON DONNELLY

Business Name

ARIEL NICOLE MAGALLON DONNELLY MD

Original Issue Date

08/27/2023

Effective Date

08/27/2023

Expiration Date

07/31/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026