COLLEEN COTTER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

ACTIVE

Business

First Name

COLLEEN

Last Name

COTTER

Business Name

COLLEEN COTTER

Original Issue Date

03/05/2020

Effective Date

02/28/2024

Expiration Date

03/01/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025