BRUCE PHILLIP KOLTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

BRUCE

Middle

PHILLIP

Last Name

KOLTON

Business Name

BRUCE PHILLIP KOLTON MD

Original Issue Date

09/12/1990

Effective Date

09/12/1990

Expiration Date

07/31/1999

City

VERNON HILLS

State

Zip

60061

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020