LYNN ELLEN DOLAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

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

02/22/2016

Expiration Date

07/31/2017

City

BROOKFIELD

State

Zip

53045

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020