JOHN T KOEPKE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085693

License Status

INACTIVE

Business

First Name

JOHN T

Last Name

KOEPKE

Suffix

Business Name

JOHN T KOEPKE MD

Original Issue Date

12/01/1992

Effective Date

12/01/1992

Expiration Date

07/31/1993

City

MALONE

State

Zip

53049

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006