THOMAS C KOEHLER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046108

License Status

EXPIRED

Business

First Name

THOMAS

Middle

Last Name

KOEHLER

Business Name

THOMAS C KOEHLER

Original Issue Date

05/09/2003

Effective Date

05/09/2003

Expiration Date

06/30/2006

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006