COLLEEN M COX DUNLOP Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

M COX

Last Name

DUNLOP

Business Name

COLLEEN M COX DUNLOP

Original Issue Date

03/26/2001

Effective Date

03/01/2016

Expiration Date

03/01/2018

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

06/25/2018