BRENNA ANN KOCH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****86

License Status

ACTIVE

Business

First Name

BRENNA

Middle

ANN

Last Name

KOCH

Business Name

BRENNA ANN KOCH

Original Issue Date

01/17/2025

Effective Date

02/06/2026

Expiration Date

03/01/2028

City

ELGIN

State

Zip

60123

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/06/2026