CAMERON LEE KOESTER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070843

License Status

CANCELLED

Business

Title

First Name

CAMERON

Middle

LEE

Last Name

KOESTER

Business Name

CAMERON LEE KOESTER DO

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/15/2017