JOHN M KOCH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110717

License Status

INACTIVE

Business

First Name

JOHN

Middle

Last Name

KOCH

Suffix

Business Name

JOHN M KOCH MD

Original Issue Date

01/21/2004

Effective Date

01/21/2004

Expiration Date

07/31/2005

City

GREEN BAY

State

Zip

54311

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006