AGNES KATHY STOCH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062775

License Status

CANCELLED

Business

Title

First Name

AGNES

Middle

KATHY

Last Name

STOCH

Business Name

AGNES KATHY STOCH DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

AURORA

State

Zip

60506

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014