COLLEEN N KOLPAK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004272

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

Last Name

KOLPAK

Business Name

COLLEEN N KOLPAK

Original Issue Date

01/23/2012

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60614

Ever Disciplined

LastModifiedDate

12/09/2025