DEBRA JANE KOCH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013254

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

JANE

Last Name

KOCH

Business Name

DEBRA JANE KOCH

Original Issue Date

10/15/2002

Effective Date

07/07/2018

Expiration Date

09/30/2020

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021