MICHAEL R COAN - Medical Doctor License in Illinois | # 125039201

MICHAEL R COAN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039201

License Status

EXPIRED

Business

N

First Name

MICHAEL

Middle

R

Last Name

COAN

Business Name

MICHAEL R COAN

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

06/17/2002

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

09/22/2006