THOMAS C KOEHLER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

KOEHLER

Business Name

THOMAS C KOEHLER

Original Issue Date

08/01/2006

Effective Date

09/01/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023