SUSAN HARRIET KOCH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002334

License Status

NOT RENEWED

Business

First Name

SUSAN HARRIET

Last Name

KOCH

Business Name

SUSAN HARRIET KOCH

Original Issue Date

01/11/1977

Effective Date

07/14/2016

Expiration Date

09/30/2018

City

EASTHAM

State

Zip

02642

County

LAKE

Ever Disciplined

LastModifiedDate

12/05/2018