MICHAEL JOHN CONNOLLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162561

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

JOHN

Last Name

CONNOLLY

Business Name

MICHAEL JOHN CONNOLLY MD

Original Issue Date

10/11/2022

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

MEQUON

State

Zip

53092

Ever Disciplined

LastModifiedDate

08/22/2023