LOGAN ROBERT KOEHLER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001190

License Status

CANCELLED

Business

Title

First Name

LOGAN

Middle

ROBERT

Last Name

KOEHLER

Business Name

LOGAN ROBERT KOEHLER MD

Original Issue Date

11/20/2017

Effective Date

11/20/2017

Expiration Date

02/19/2018

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

06/15/2018