DANA MARJORIE KOTH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005108

License Status

ACTIVE

Business

First Name

DANA

Middle

MARJORIE

Last Name

KOTH

Business Name

DANA MARJORIE KOTH

Original Issue Date

07/30/2014

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

GLENVIEW

State

Zip

60026

County

COOK

Ever Disciplined

LastModifiedDate

12/09/2025