JAN O KOEHLER 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

JAN O

Last Name

KOEHLER

Suffix

Business Name

JAN O KOEHLER MD

Original Issue Date

01/19/1983

Effective Date

01/19/1983

Expiration Date

07/31/1984

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006