DAVID ERNEST KOCH Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002275

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ERNEST

Last Name

KOCH

Business Name

DAVID ERNEST KOCH

Original Issue Date

03/22/2006

Effective Date

09/30/2020

Expiration Date

05/31/2022

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

07/27/2022