JEROME L KOLAVO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

JEROME L

Last Name

KOLAVO

Suffix

Business Name

JEROME L KOLAVO MD

Original Issue Date

07/28/2000

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021