MARY CONNELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

MARY

Last Name

CONNELL

Business Name

MARY CONNELL MD

Original Issue Date

01/04/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

GOREVILLE

State

Zip

62939

County

JOHNSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023