MICHAEL D KOEPPEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013210

License Status

EXPIRED

Business

First Name

MICHAEL D

Last Name

KOEPPEN

Suffix

Business Name

MICHAEL D KOEPPEN MD

Original Issue Date

06/30/1981

Effective Date

06/30/1981

Expiration Date

07/01/1983

City

PEORIA

State

Zip

61636

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006