COLLEEN N KOLPAK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

Last Name

KOLPAK

Business Name

COLLEEN N KOLPAK

Original Issue Date

07/16/2012

Effective Date

12/15/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60614

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/15/2025