MICHAEL W KOLLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077418

License Status

NOT RENEWED

Business

First Name

MICHAEL W

Last Name

KOLLER

Suffix

Business Name

MICHAEL W KOLLER MD

Original Issue Date

07/20/1988

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017