Michael Timothy Koch
ExpiredCalifornia license 25563
License
- Licensed by
- Dental Board of California
- License number
- 25563
- Status
- Expired (Delinquent)
- First issued
- March 19, 1976
- Expired
- February 28, 2022
- License holder
- Michael Timothy Koch
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
5931 Stanley Avenue Suite 2
Carmichael, CA 95608
Carmichael, CA 95608
Sacramento County