COLLEEN KRISTIN COGHLAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071683

License Status

CANCELLED

Business

Title

First Name

COLLEEN

Middle

KRISTIN

Last Name

COGHLAN

Business Name

COLLEEN KRISTIN COGHLAN MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/17/2018