LISA M KOHLER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

KOHLER

Business Name

LISA M KOHLER

Original Issue Date

03/31/2006

Effective Date

07/29/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011