THOMAS H KOCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

THOMAS H

Last Name

KOCH

Suffix

Business Name

THOMAS H KOCH MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008