JEFFREY SCOTT MCCOLLUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

SCOTT

Last Name

MCCOLLUM

Suffix

Business Name

JEFFREY SCOTT MCCOLLUM MD

Original Issue Date

08/03/1990

Effective Date

08/03/1990

Expiration Date

07/31/1993

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006