KEVIN JOHN COAKLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

KEVIN JOHN

Last Name

COAKLEY

Suffix

Business Name

KEVIN JOHN COAKLEY MD

Original Issue Date

05/24/1994

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023