STEPHEN A COULSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

COULSON

Suffix

Business Name

STEPHEN A COULSON MD

Original Issue Date

07/16/1998

Effective Date

03/06/2019

Expiration Date

09/30/2020

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021