COLIN K CANTRELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074051

License Status

EXPIRED

Business

Title

First Name

COLIN

Middle

Last Name

CANTRELL

Business Name

COLIN K CANTRELL MD

Original Issue Date

06/23/2022

Effective Date

06/23/2022

Expiration Date

06/22/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

10/30/2024