DENISE L TERESE-KOCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

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

06/14/1995

Effective Date

06/14/1995

Expiration Date

09/30/2000

City

WESTMONT

State

Zip

60569

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005