SUSAN H KOCH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027787

License Status

EXPIRED

Business

First Name

SUSAN

Middle

Last Name

KOCH

Business Name

SUSAN H KOCH

Original Issue Date

04/30/1992

Effective Date

04/30/1992

Expiration Date

06/23/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006