FRED HERMAN KOHANNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

FRED

Middle

HERMAN

Last Name

KOHANNA

Suffix

Business Name

FRED HERMAN KOHANNA MD

Original Issue Date

02/21/2007

Effective Date

02/21/2007

Expiration Date

07/31/2008

City

MORRIS

State

Zip

60450

County

GRUNDY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020