ANTHONY LOUIS KOHLENBERG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135871

License Status

INACTIVE

Business

Title

First Name

ANTHONY

Middle

LOUIS

Last Name

KOHLENBERG

Business Name

ANTHONY LOUIS KOHLENBERG MD

Original Issue Date

07/10/2014

Effective Date

07/10/2014

Expiration Date

07/31/2017

City

MILWAUKEE

State

Zip

53211

Ever Disciplined

LastModifiedDate

04/11/2017