TERRENCE W COLEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

TERRENCE W

Last Name

COLEMAN

Suffix

Business Name

TERRENCE W COLEMAN MD

Original Issue Date

06/21/1985

Effective Date

06/21/1985

Expiration Date

07/31/1990

City

GODFREY

State

Zip

62035

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006