SOPHIA ANITA KOEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112312

License Status

INACTIVE

Business

Title

First Name

SOPHIA

Middle

ANITA

Last Name

KOEN

Business Name

SOPHIA ANITA KOEN MD

Original Issue Date

09/10/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

TEMPLE

State

Zip

76502

Ever Disciplined

LastModifiedDate

05/23/2012