WILLIAM RONALD COUGHLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

WILLIAM RONALD

Last Name

COUGHLIN

Suffix

Business Name

WILLIAM RONALD COUGHLIN MD

Original Issue Date

02/24/1988

Effective Date

02/24/1988

Expiration Date

07/31/1993

City

FORT WAYNE

State

Zip

46805

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006