ALISA ERIKA KOCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

ALISA ERIKA

Last Name

KOCH

Suffix

Business Name

ALISA ERIKA KOCH MD

Original Issue Date

09/29/1981

Effective Date

09/29/1981

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006