DOUGLAS M KOLTUN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

DOUGLAS M

Last Name

KOLTUN

Suffix

Business Name

DOUGLAS M KOLTUN MD

Original Issue Date

10/21/1985

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023