JUSTIN PATRICK COLANESE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

Title

First Name

JUSTIN

Middle

PATRICK

Last Name

COLANESE

Business Name

JUSTIN PATRICK COLANESE MD

Original Issue Date

07/13/2017

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021