MICHAEL JAMES COUGHLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JAMES

Last Name

COUGHLIN

Suffix

Business Name

MICHAEL JAMES COUGHLIN MD

Original Issue Date

06/29/1981

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

JOLIET

State

Zip

60432

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021