SUSANNAH K KOCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161310

License Status

ACTIVE

Business

Title

First Name

SUSANNAH

Middle

Last Name

KOCH

Prefix

Business Name

SUSANNAH K KOCH MD

Original Issue Date

07/09/2022

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

07/10/2023