MICHAEL W COLGROVE - Medical Doctor License in Illinois | # 125039226

MICHAEL W COLGROVE

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039226

License Status

EXPIRED

Business

N

First Name

MICHAEL

Middle

W

Last Name

COLGROVE

Business Name

MICHAEL W COLGROVE

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2003

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

09/22/2006