CAROLYN B COULAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092625

License Status

NOT RENEWED

Business

First Name

CAROLYN B

Last Name

COULAM

Suffix

Business Name

CAROLYN B COULAM MD

Original Issue Date

04/24/1996

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021