ROBERT CHARLES KOLLMORGEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

CHARLES

Last Name

KOLLMORGEN

Suffix

Business Name

ROBERT CHARLES KOLLMORGEN DO

Original Issue Date

01/16/2008

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017