JEROME L KOLAVO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

JEROME L

Last Name

KOLAVO

Suffix

Business Name

JEROME L KOLAVO MD

Original Issue Date

07/28/2000

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

DEKALB

State

Zip

60115

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023