ROBERT J KOCH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025743

License Status

EXPIRED

Business

First Name

ROBERT J

Last Name

KOCH

Suffix

Business Name

ROBERT J KOCH DO

Original Issue Date

06/26/1990

Effective Date

06/26/1990

Expiration Date

06/21/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006