SUSAN MARIE COLEGROVE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

Title

First Name

SUSAN

Middle

MARIE

Last Name

COLEGROVE

Business Name

SUSAN MARIE COLEGROVE MD

Original Issue Date

10/05/2018

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

ROMEOVILLE

State

Zip

60446

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023