MICHAEL E DONAHUE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

DONAHUE

Business Name

MICHAEL E DONAHUE

Original Issue Date

06/03/2004

Effective Date

06/03/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020