TODD A KOFFLER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119014

License Status

INACTIVE

Business

First Name

TODD

Middle

Last Name

KOFFLER

Suffix

Business Name

TODD A KOFFLER MD

Original Issue Date

07/19/2007

Effective Date

04/19/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/05/2020