THEODORE ALFRED KOERNER JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

THEODORE

Middle

ALFRED

Last Name

KOERNER

Suffix

Business Name

THEODORE ALFRED KOERNER JR MD

Original Issue Date

03/11/2020

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2023