ROSEMARY TAKYI KOEPPEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062754

License Status

CANCELLED

Business

First Name

ROSEMARY

Middle

TAKYI

Last Name

KOEPPEL

Suffix

Business Name

ROSEMARY TAKYI KOEPPEL MD

Original Issue Date

06/26/2013

Effective Date

06/26/2013

Expiration Date

06/25/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014