CYRIL NICHOLAS KOCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010087

License Status

NOT RENEWED

Business

First Name

CYRIL NICHOLAS

Last Name

KOCH

Business Name

CYRIL NICHOLAS KOCH

Original Issue Date

08/18/1952

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/08/2006