MARC E KOCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

MARC

Middle

Last Name

KOCH

Suffix

Business Name

MARC E KOCH MD

Original Issue Date

08/05/2019

Effective Date

08/05/2019

Expiration Date

09/30/2020

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021