JUSTIN CHARLES KOHL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141645

License Status

NOT RENEWED

Business

Title

First Name

JUSTIN

Middle

CHARLES

Last Name

KOHL

Business Name

JUSTIN CHARLES KOHL MD

Original Issue Date

09/02/2016

Effective Date

09/02/2016

Expiration Date

07/31/2017

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017