CRAIG DEAN KOCH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064826

License Status

CANCELLED

Business

Title

First Name

CRAIG

Middle

DEAN

Last Name

KOCH

Business Name

CRAIG DEAN KOCH MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/29/2014