Douglas Dale Koch Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019012254

Status

Inactive

First issued

July 25, 1963

Expired

September 30, 1998

License holder

Douglas Dale Koch Dds

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

07/25/1963

Other Illinois licenses under this name

• IL
  Douglas Dale Koch Dds

  License 31*****99

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Edwardsville, IL

  Expired Sep 30, 1986
• IL
  Douglas Dale Koch Dds

  License 31*****98

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Godfrey, IL

  Expired Sep 30, 1990

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