CRAIG DEAN KOCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141577

License Status

ACTIVE

Business

Title

First Name

CRAIG

Middle

DEAN

Last Name

KOCH

Business Name

CRAIG DEAN KOCH MD

Original Issue Date

08/25/2016

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/10/2023