MICHAEL WILLIAM KOEHNE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

MICHAEL WILLIAM

Last Name

KOEHNE

Business Name

MICHAEL WILLIAM KOEHNE

Original Issue Date

02/07/1985

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024