SUSAN H KOCH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

KOCH

Business Name

SUSAN H KOCH

Original Issue Date

07/26/1996

Effective Date

07/02/2014

Expiration Date

07/31/2017

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017