DOUGLAS P KOEHN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

DOUGLAS P

Last Name

KOEHN

Suffix

Business Name

DOUGLAS P KOEHN MD

Original Issue Date

08/25/1986

Effective Date

08/25/1986

Expiration Date

07/31/1990

City

ROCKFORD

State

Zip

61107

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006