GLEN R COULOMB MD SC Medical Corporation License verification

Business Entity

CANCELLED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042006441

License Status

CANCELLED

Business

Business Name

GLEN R COULOMB MD SC

Original Issue Date

10/15/1988

Effective Date

10/15/1988

Expiration Date

01/01/1996

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/26/2006