JANINE ELIZABETH DONAHUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

JANINE ELIZABETH

Last Name

DONAHUE

Suffix

Business Name

JANINE ELIZABETH DONAHUE MD

Original Issue Date

06/25/1993

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

MORTON

State

Zip

61550

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021