CHRISTINE A KOCH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003879

License Status

INACTIVE

Business

First Name

CHRISTINE A

Last Name

KOCH

Business Name

CHRISTINE A KOCH

Original Issue Date

07/06/1979

Effective Date

07/06/1979

Expiration Date

09/30/1992

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/12/2005