JOAN COGHLAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

JOAN

Last Name

COGHLAN

Business Name

JOAN COGHLAN

Original Issue Date

03/07/1994

Effective Date

04/13/2017

Expiration Date

09/30/2020

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021