MEGAN MICHELLE MCCOLLUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

Title

First Name

MEGAN

Middle

MICHELLE

Last Name

MCCOLLUM

Business Name

MEGAN MICHELLE MCCOLLUM MD

Original Issue Date

12/03/2024

Effective Date

12/03/2024

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2024