TODD C KOCH - Registered Nurse License in Idaho | # 041375498

TODD C KOCH

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041375498

License Status

NOT RENEWED

Business

N

First Name

TODD

Middle

C

Last Name

KOCH

Business Name

TODD C KOCH

Original Issue Date

05/05/2009

Effective Date

05/05/2009

Expiration Date

05/31/2010

State

ID

Ever Disciplined

N

LastModifiedDate

08/16/2010