THOMAS MICHAEL DONAHUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

MICHAEL

Last Name

DONAHUE

Business Name

THOMAS MICHAEL DONAHUE MD

Original Issue Date

07/07/2011

Effective Date

05/16/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021