MICHAEL D COULSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022995

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

Last Name

COULSON

Business Name

MICHAEL D COULSON DO

Original Issue Date

07/07/1988

Effective Date

07/07/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006