ANTHONY LOUIS KOHLENBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017