PAUL W KOCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

Last Name

KOCH

Suffix

Business Name

PAUL W KOCH MD

Original Issue Date

07/26/2005

Effective Date

07/26/2005

Expiration Date

07/31/2008

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020