MARY L COLEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

COLEMAN

Suffix

Business Name

MARY L COLEMAN MD

Original Issue Date

09/03/1991

Effective Date

09/03/1991

Expiration Date

07/31/1999

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006