LYNN ELLEN DOLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139829

License Status

NOT RENEWED

Business

Title

First Name

LYNN

Middle

ELLEN

Last Name

DOLAN

Business Name

LYNN ELLEN DOLAN MD

Original Issue Date

02/22/2016

Effective Date

04/01/2020

Expiration Date

09/30/2020

City

BROOKFIELD

State

Zip

53045

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021