DWAIN L COGGINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

DWAIN L

Last Name

COGGINS

Suffix

Business Name

DWAIN L COGGINS MD

Original Issue Date

12/09/1985

Effective Date

12/09/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006