SUSAN H KOCH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090747

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

KOCH

Business Name

SUSAN H KOCH

Original Issue Date

05/24/1995

Effective Date

06/09/2020

Expiration Date

09/30/2020

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021