ELIZABETH A KOCH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****42

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

Last Name

KOCH

Business Name

ELIZABETH A KOCH

Original Issue Date

10/22/2008

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

WESTCHESTER

State

Zip

60154

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025