HOWARD SHANE KOTLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

Title

First Name

HOWARD

Middle

SHANE

Last Name

KOTLER

Business Name

HOWARD SHANE KOTLER MD

Original Issue Date

03/22/1991

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023