DOUGLAS DALE KOCH DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012254

License Status

INACTIVE

Business

First Name

DOUGLAS DALE

Last Name

KOCH

Suffix

DDS

Business Name

DOUGLAS DALE KOCH DDS

Original Issue Date

07/25/1963

Effective Date

07/25/1963

Expiration Date

09/30/1998

City

NAPLES

State

Zip

33940

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005