JOHN T KOEPKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

JOHN T

Last Name

KOEPKE

Suffix

Business Name

JOHN T KOEPKE MD

Original Issue Date

01/13/1993

Effective Date

01/13/1993

Expiration Date

07/31/1993

City

HINSDALE

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006