JOSEPH SAMUEL COLLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

JOSEPH

Middle

SAMUEL

Last Name

COLLA

Suffix

Business Name

JOSEPH SAMUEL COLLA MD

Original Issue Date

04/05/2006

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023