KRAIG MICHAEL KOSCHMEDER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

NOT RENEWED

Business

First Name

KRAIG

Middle

MICHAEL

Last Name

KOSCHMEDER

Business Name

KRAIG MICHAEL KOSCHMEDER

Original Issue Date

03/21/2008

Effective Date

03/21/2008

Expiration Date

03/01/2010

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/01/2010