MARY JANE F KOHM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

MARY JANE F

Last Name

KOHM

Suffix

Business Name

MARY JANE F KOHM MD

Original Issue Date

07/21/1992

Effective Date

07/21/1992

Expiration Date

07/31/1993

City

BRIDGETON

State

Zip

63044

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006