ANNE METRICK KOEHNE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

ACTIVE

Business

Title

DMD

First Name

ANNE

Middle

METRICK

Last Name

KOEHNE

Business Name

ANNE METRICK KOEHNE DMD

Original Issue Date

07/24/2023

Effective Date

08/11/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/11/2024