DOUGLAS P KOEHN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018575

License Status

EXPIRED

Business

First Name

DOUGLAS P

Last Name

KOEHN

Suffix

Business Name

DOUGLAS P KOEHN MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006