STANLEY WAYNE KOCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060959

License Status

ACTIVE

Business

First Name

STANLEY WAYNE

Last Name

KOCH

Suffix

Business Name

STANLEY WAYNE KOCH MD

Original Issue Date

09/11/1980

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/03/2023