AMBER L KOTH - Advanced Practice Nurse License in Illinois | # 209016116

AMBER L KOTH

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016116

License Status

INACTIVE

Business

N

First Name

AMBER

Middle

L

Last Name

KOTH

Business Name

AMBER L KOTH

Original Issue Date

06/28/2017

Effective Date

05/26/2020

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/26/2020