XERXES R COLAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

XERXES R

Last Name

COLAH

Suffix

Business Name

XERXES R COLAH MD

Original Issue Date

08/26/1987

Effective Date

08/26/1987

Expiration Date

07/31/2002

City

CENTRALIA

State

Zip

62801

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020