THOMAS MICHAEL KOCH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010261

License Status

ACTIVE

Business

First Name

THOMAS

Middle

MICHAEL

Last Name

KOCH

Business Name

THOMAS MICHAEL KOCH

Original Issue Date

01/17/2024

Effective Date

01/30/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

01/30/2026