COLIN THERRIAULT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

COLIN

Last Name

THERRIAULT

Business Name

COLIN THERRIAULT MD

Original Issue Date

07/01/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023