ERIK K KOOBA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

First Name

ERIK

Middle

Last Name

KOOBA

Suffix

Business Name

ERIK K KOOBA MD

Original Issue Date

12/04/1998

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023