JEROME L KOLAVO 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

JEROME L

Last Name

KOLAVO

Suffix

Business Name

JEROME L KOLAVO MD

Original Issue Date

07/11/1985

Effective Date

07/11/1985

Expiration Date

07/31/2002

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020