MICHAEL DAVID KOLAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061276

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

DAVID

Last Name

KOLAN

Business Name

MICHAEL DAVID KOLAN MD

Original Issue Date

06/23/2015

Effective Date

06/23/2015

Expiration Date

06/22/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

08/16/2016