ALAN J KOFFRON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

Last Name

KOFFRON

Suffix

Business Name

ALAN J KOFFRON MD

Original Issue Date

05/06/2002

Effective Date

05/06/2002

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011