FELIPE COSCOLLUELA JAVIER III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

FELIPE

Middle

COSCOLLUELA

Last Name

JAVIER

Suffix

III MD

Business Name

FELIPE COSCOLLUELA JAVIER III MD

Original Issue Date

06/29/1999

Effective Date

06/29/1999

Expiration Date

07/31/2008

City

HAMILTON

State

Zip

62341

County

HANCOCK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008