ALISA ERIKA KOCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063169

License Status

NOT RENEWED

Business

First Name

ALISA ERIKA

Last Name

KOCH

Suffix

Business Name

ALISA ERIKA KOCH MD

Original Issue Date

09/10/1981

Effective Date

09/10/1981

Expiration Date

07/31/2005

City

ANN ARBOR

State

Zip

48108

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006