JOSEPH SAMUEL COLLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114380

License Status

ACTIVE

Business

First Name

JOSEPH

Middle

SAMUEL

Last Name

COLLA

Suffix

Business Name

JOSEPH SAMUEL COLLA MD

Original Issue Date

08/09/2005

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2023