WAYNE B COLIN 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

WAYNE B

Last Name

COLIN

Suffix

Business Name

WAYNE B COLIN MD

Original Issue Date

06/28/1996

Effective Date

06/28/1996

Expiration Date

07/31/1999

City

SCOTT AIR FORCE BASE

State

Zip

62225

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006