DEAN ROSS COLLETTE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

DEAN

Middle

ROSS

Last Name

COLLETTE

Suffix

Business Name

DEAN ROSS COLLETTE MD

Original Issue Date

05/02/2002

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023