MICHAEL GERARD KOELSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

MICHAEL GERARD

Last Name

KOELSCH

Suffix

Business Name

MICHAEL GERARD KOELSCH MD

Original Issue Date

03/23/1994

Effective Date

03/23/1994

Expiration Date

07/31/1999

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006