OMEGA C KOCH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022566

License Status

NOT RENEWED

Business

First Name

OMEGA

Middle

Last Name

KOCH

Business Name

OMEGA C KOCH

Original Issue Date

08/23/2016

Effective Date

08/01/2018

Expiration Date

09/30/2020

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021