ROSEMARY TAKYI KOEPPEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

ROSEMARY

Middle

TAKYI

Last Name

KOEPPEL

Suffix

Business Name

ROSEMARY TAKYI KOEPPEL MD

Original Issue Date

03/23/2016

Effective Date

05/21/2020

Expiration Date

07/31/2023

City

JACKSONVILLE

State

Zip

62650

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023