DAVID FOSTER COLOMBO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Middle

FOSTER

Last Name

COLOMBO

Business Name

DAVID FOSTER COLOMBO MD

Original Issue Date

05/29/1996

Effective Date

05/07/2015

Expiration Date

07/31/2017

City

GRAND RAPIDS

State

Zip

49503

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017