JAY R COLBERT JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

JAY R

Last Name

COLBERT JR

Suffix

Business Name

JAY R COLBERT JR DO

Original Issue Date

08/15/2008

Effective Date

06/18/2014

Expiration Date

07/31/2017

City

ROSSVILLE

State

Zip

60963

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017