CHARLTON E COLLIE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

CHARLTON

Middle

Last Name

COLLIE

Business Name

CHARLTON E COLLIE MD

Original Issue Date

06/06/2025

Effective Date

06/06/2025

Expiration Date

07/31/2026

City

RUSHVILLE

State

Zip

62681

County

SCHUYLER

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2025