MICHAEL D KOEPPEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

MICHAEL D

Last Name

KOEPPEN

Suffix

Business Name

MICHAEL D KOEPPEN MD

Original Issue Date

07/13/1983

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023