JUSTIN CHARLES KOHL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

Title

First Name

JUSTIN

Middle

CHARLES

Last Name

KOHL

Business Name

JUSTIN CHARLES KOHL MD

Original Issue Date

02/03/2017

Effective Date

02/03/2017

Expiration Date

07/31/2017

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017