JUSTIN MICHAEL KOEHL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006467

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

MICHAEL

Last Name

KOEHL

Business Name

JUSTIN MICHAEL KOEHL

Original Issue Date

12/13/2017

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2025