SHIRLEY C KOCH - Nursing Home Administrator License in Illinois | # 045003243

SHIRLEY C KOCH

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003243

License Status

EXPIRED

Business

N

First Name

SHIRLEY

Middle

C

Last Name

KOCH

Business Name

SHIRLEY C KOCH

Original Issue Date

05/08/2007

Effective Date

05/08/2007

Expiration Date

08/21/2008

State

IL

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

01/04/2018