SUSANNA A MCCOLLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

SUSANNA A

Last Name

MCCOLLEY

Suffix

Business Name

SUSANNA A MCCOLLEY MD

Original Issue Date

08/29/1994

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023