EDGAR L KOCH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****93

NOT RENEWED

N

EDGAR

L

KOCH

MD

EDGAR L KOCH MD

12/02/2002

12/02/2002

07/31/2008

HOFFMAN ESTATES

IL

60194

COOK

II III IV V

N

11/06/2008