JUSTIN CHARLES KOHL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064934

License Status

CANCELLED

Business

Title

First Name

JUSTIN

Middle

CHARLES

Last Name

KOHL

Business Name

JUSTIN CHARLES KOHL MD

Original Issue Date

06/30/2014

Effective Date

06/30/2014

Expiration Date

06/29/2017

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/03/2014