THEODORE KOHN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

THEODORE

Last Name

KOHN

Suffix

Business Name

THEODORE KOHN MD

Original Issue Date

03/23/1994

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

STREATOR

State

Zip

61364

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021