TIMOTHY P COGGIN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

COGGIN

Business Name

TIMOTHY P COGGIN

Original Issue Date

09/11/2002

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2024

Case Number

2024006756

Action

Suspension

Discipline Start Date

07/02/2024

Discipline End Date

08/20/2024

Discipline Reason

MORE THAN 30 DAYS DELINQUENT IN THE PAYMENT OF CHILD SUPPORT.