NICHOLAS PETER KOEHN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081785

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

PETER

Last Name

KOEHN

Business Name

NICHOLAS PETER KOEHN DO

Original Issue Date

06/26/2023

Effective Date

06/26/2023

Expiration Date

06/25/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/01/2023