AMBER L KOTH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016116

License Status

INACTIVE

Business

First Name

AMBER

Middle

Last Name

KOTH

Business Name

AMBER L KOTH

Original Issue Date

06/28/2017

Effective Date

05/26/2020

Expiration Date

05/31/2022

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/26/2020