MARY F KOCH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001945

License Status

NOT RENEWED

Business

First Name

MARY F

Last Name

KOCH

Business Name

MARY F KOCH

Original Issue Date

12/22/1974

Effective Date

09/24/2018

Expiration Date

09/30/2020

City

URSA

State

Zip

62376

County

ADAMS

Ever Disciplined

LastModifiedDate

01/14/2021