COLLEEN KRISTIN COGHLAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

COLLEEN

Middle

KRISTIN

Last Name

COGHLAN

Business Name

COLLEEN KRISTIN COGHLAN MD

Original Issue Date

03/05/2022

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023