ELIZABETH MCDONNELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

CANCELLED

Business

First Name

ELIZABETH

Last Name

MCDONNELL

Suffix

Business Name

ELIZABETH MCDONNELL MD

Original Issue Date

01/27/2006

Effective Date

01/27/2006

Expiration Date

07/31/2008

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011