JEFFREY A COLLIGAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

JEFFREY A

Last Name

COLLIGAN

Business Name

JEFFREY A COLLIGAN

Original Issue Date

03/15/1991

Effective Date

10/07/2021

Expiration Date

09/30/2024

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025