SUSAN LYNN KOCH - Physical Therapist License in Illinois | # 070001680

SUSAN LYNN KOCH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001680

License Status

NOT RENEWED

Business

N

First Name

SUSAN LYNN

Last Name

KOCH

Business Name

SUSAN LYNN KOCH

Original Issue Date

03/20/1973

Effective Date

03/20/1973

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005