KEVIN MICHAEL MCDONNELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114630

License Status

ACTIVE

Business

First Name

KEVIN

Middle

MICHAEL

Last Name

MCDONNELL

Suffix

Business Name

KEVIN MICHAEL MCDONNELL MD

Original Issue Date

09/20/2005

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

EDEN PRAIRIE

State

Zip

55344

Ever Disciplined

LastModifiedDate

06/13/2023