SHIRLEY C KOCH - Nursing Home Administrator License in Illinois | # 044010380

SHIRLEY C KOCH

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010380

License Status

NOT RENEWED

Business

N

First Name

SHIRLEY

Middle

C

Last Name

KOCH

Business Name

SHIRLEY C KOCH

Original Issue Date

08/18/2008

Effective Date

09/24/2019

Expiration Date

02/28/2022

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

07/27/2022