THOMAS MICHAEL KOCH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****25

License Status

ACTIVE

Business

First Name

THOMAS

Middle

MICHAEL

Last Name

KOCH

Business Name

THOMAS MICHAEL KOCH

Original Issue Date

03/01/2024

Effective Date

02/01/2026

Expiration Date

03/01/2028

City

WINNETKA

State

Zip

60093

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/01/2026