MAYA ITZA KOEHLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154635

License Status

ACTIVE

Business

Title

First Name

MAYA

Middle

ITZA

Last Name

KOEHLER

Business Name

MAYA ITZA KOEHLER MD

Original Issue Date

10/30/2020

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

07/26/2023