KEVIN GILBERT KOTH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

GILBERT

Last Name

KOTH

Business Name

KEVIN GILBERT KOTH DO

Original Issue Date

04/19/2013

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

BREESE

State

Zip

62230

County

CLINTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023