MICHAEL STEPHEN KOCH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002099

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

STEPHEN

Last Name

KOCH

Business Name

MICHAEL STEPHEN KOCH

Original Issue Date

04/06/2005

Effective Date

07/19/2010

Expiration Date

05/31/2012

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

07/10/2012

Case Number

2005001041

Action

Fine

Discipline Start Date

03/31/2005

Discipline Reason

Unlicensed practice as an athletic trainer.