HILDA BEATRIZ KOCH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006206

License Status

NOT RENEWED

Business

First Name

HILDA

Middle

BEATRIZ

Last Name

KOCH

Business Name

HILDA BEATRIZ KOCH

Original Issue Date

06/19/2017

Effective Date

06/19/2017

Expiration Date

03/01/2018

City

LONG BEACH

State

Zip

90807

Ever Disciplined

LastModifiedDate

05/10/2018