NANCY V KOCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

NANCY V

Last Name

KOCH

Suffix

Business Name

NANCY V KOCH MD

Original Issue Date

04/13/1995

Effective Date

05/05/2014

Expiration Date

07/31/2017

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017