TERRENCE JOSEPH COFFEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139222

License Status

NOT RENEWED

Business

Title

First Name

TERRENCE

Middle

JOSEPH

Last Name

COFFEY

Business Name

TERRENCE JOSEPH COFFEY MD

Original Issue Date

10/07/2015

Effective Date

10/07/2015

Expiration Date

07/31/2017

City

WICHITA

State

Zip

67220

County

KANSAS

Ever Disciplined

LastModifiedDate

11/01/2017