SUSAN LYNN KOCH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001680

License Status

NOT RENEWED

Business

First Name

SUSAN LYNN

Last Name

KOCH

Business Name

SUSAN LYNN KOCH

Original Issue Date

03/20/1973

Effective Date

03/20/1973

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2005