JUAN ROLANDO COLARETA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

CANCELLED

Business

First Name

JUAN

Middle

ROLANDO

Last Name

COLARETA

Suffix

Business Name

JUAN ROLANDO COLARETA MD

Original Issue Date

12/09/1999

Effective Date

12/09/1999

Expiration Date

07/31/2002

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006