SUE ELLEN COLBY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

SUE ELLEN

Last Name

COLBY

Suffix

Business Name

SUE ELLEN COLBY MD

Original Issue Date

10/06/1993

Effective Date

10/06/1993

Expiration Date

07/31/1996

City

BURBANK

State

Zip

60459

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006