THOMAS ANTHONY KOCOSHIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

CANCELLED

Business

First Name

THOMAS ANTHONY

Last Name

KOCOSHIS

Suffix

Business Name

THOMAS ANTHONY KOCOSHIS MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

MUNCIE

State

Zip

47302

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006