WINDY M DEAN-COLOMB 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

WINDY

Middle

Last Name

DEAN-COLOMB

Suffix

Business Name

WINDY M DEAN-COLOMB MD

Original Issue Date

10/18/2005

Effective Date

10/18/2005

Expiration Date

07/31/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008