SUSANNAH K KOCH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000939

License Status

EXPIRED

Business

Title

First Name

SUSANNAH

Middle

Last Name

KOCH

Prefix

Business Name

SUSANNAH K KOCH MD

Original Issue Date

10/25/2021

Effective Date

10/25/2021

Expiration Date

04/24/2022

City

GRANITE CITY

State

Zip

62040

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/05/2021