MARY ELIZABETH O'DONNELL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

ACTIVE

Business

First Name

MARY

Middle

ELIZABETH

Last Name

O'DONNELL

Business Name

MARY ELIZABETH O'DONNELL

Original Issue Date

12/05/2016

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

AURORA

State

Zip

60506

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/31/2025