MARC STUART KOLPON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054162

License Status

EXPIRED

Business

Title

First Name

MARC

Middle

STUART

Last Name

KOLPON

Business Name

MARC STUART KOLPON DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

08/29/2012