MICHAEL W KOLLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

MICHAEL W

Last Name

KOLLER

Suffix

Business Name

MICHAEL W KOLLER MD

Original Issue Date

08/12/1988

Effective Date

05/07/2014

Expiration Date

07/31/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017