NATHAN Q KOCH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009784

License Status

INACTIVE

Business

First Name

NATHAN Q

Last Name

KOCH

Business Name

NATHAN Q KOCH

Original Issue Date

11/12/1996

Effective Date

11/12/1996

Expiration Date

09/30/1998

City

AVONDALE

State

Zip

85323

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/14/2005