BRIAN ANTHONY MCCOLLOUGH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

ANTHONY

Last Name

MCCOLLOUGH

Suffix

Business Name

BRIAN ANTHONY MCCOLLOUGH MD

Original Issue Date

07/29/2009

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

BLUE ISLAND

State

Zip

60406

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014