JERRY R COLTRO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

JERRY R

Last Name

COLTRO

Suffix

Business Name

JERRY R COLTRO MD

Original Issue Date

05/13/1986

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023