PETER MARSHALL COLEGROVE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

PETER

Middle

MARSHALL

Last Name

COLEGROVE

Suffix

Business Name

PETER MARSHALL COLEGROVE MD

Original Issue Date

01/27/2005

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023