JENNIFER P KOCH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

KOCH

Suffix

DMD

Business Name

JENNIFER P KOCH DMD

Original Issue Date

08/31/1998

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

TINLEY PARK

State

Zip

60487

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024