KOLEEN K BARNELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

KOLEEN K

Last Name

BARNELL

Suffix

Business Name

KOLEEN K BARNELL MD

Original Issue Date

05/20/1992

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SEYMOUR

State

Zip

61875

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023