MARK TIMOTHY MONAHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

TIMOTHY

Last Name

MONAHAN

Business Name

MARK TIMOTHY MONAHAN MD

Original Issue Date

10/22/2002

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023