FAY K COLEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

FAY K

Last Name

COLEMAN

Suffix

Business Name

FAY K COLEMAN MD

Original Issue Date

02/10/1988

Effective Date

02/10/1988

Expiration Date

07/31/1993

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006