DAVID LEE COLGROVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098308

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

LEE

Last Name

COLGROVE

Suffix

Business Name

DAVID LEE COLGROVE MD

Original Issue Date

07/16/1998

Effective Date

07/16/1998

Expiration Date

07/31/2002

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

01/14/2010