JANE A KOCH Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

JANE A

Last Name

KOCH

Business Name

JANE A KOCH

Original Issue Date

06/22/1990

Effective Date

06/22/1990

Expiration Date

01/31/1993

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006