MARY JANE F KOHM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084565

License Status

INACTIVE

Business

First Name

MARY JANE F

Last Name

KOHM

Suffix

Business Name

MARY JANE F KOHM MD

Original Issue Date

06/18/1992

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

JACKSONVILLE

State

Zip

32205

Ever Disciplined

LastModifiedDate

07/21/2008