THOMAS MICHAEL DONAHUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128362

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

CANTON

State

Zip

44718

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021