CLARENCE COOLIDGE COLEMAN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

Title

First Name

CLARENCE

Middle

COOLIDGE

Last Name

COLEMAN

Suffix

Business Name

CLARENCE COOLIDGE COLEMAN JR MD

Original Issue Date

07/28/2004

Effective Date

07/28/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60661

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020