SARAH REBECCA KOSCICA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

SARAH

Middle

REBECCA

Last Name

KOSCICA

Business Name

SARAH REBECCA KOSCICA MD

Original Issue Date

09/25/2019

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

TREMONT

State

Zip

61568

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023