DENISE L TERESE-KOCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000622

License Status

NOT RENEWED

Business

First Name

DENISE L

Last Name

TERESE-KOCH

Suffix

DDS

Business Name

DENISE L TERESE-KOCH DDS

Original Issue Date

06/26/1992

Effective Date

06/26/1992

Expiration Date

06/30/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005