LAURENCE AUSTIN DONAHUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137874

License Status

NOT RENEWED

Business

Title

First Name

LAURENCE

Middle

AUSTIN

Last Name

DONAHUE

Business Name

LAURENCE AUSTIN DONAHUE MD

Original Issue Date

04/28/2015

Effective Date

04/28/2015

Expiration Date

07/31/2017

City

WAUWATOSA

State

Zip

53222

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017