DENISE L TERESE-KOCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

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

09/04/1992

Effective Date

09/18/2012

Expiration Date

09/30/2015

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016