PATRICIA M COLE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

CANCELLED

Business

First Name

PATRICIA

Middle

Last Name

COLE

Suffix

Business Name

PATRICIA M COLE MD

Original Issue Date

10/06/1988

Effective Date

10/06/1988

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006