DIANE M KOCH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001138

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

KOCH

Business Name

DIANE M KOCH

Original Issue Date

06/15/2001

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021