DAVID ERNEST KOCH - Athletic Trainer License in Illinois | # 096002275

DAVID ERNEST KOCH

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002275

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022