GABRIEL JAMES KOCH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083590

License Status

ACTIVE

Business

Title

First Name

GABRIEL

Middle

JAMES

Last Name

KOCH

Business Name

GABRIEL JAMES KOCH DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/06/2024