CAROL L COGLIANESE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

CAROL L

Last Name

COGLIANESE

Suffix

Business Name

CAROL L COGLIANESE MD

Original Issue Date

10/25/1994

Effective Date

10/25/1994

Expiration Date

07/31/1999

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

04/05/2020