DAWN KOCH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

DAWN

Last Name

KOCH

Business Name

DAWN KOCH

Original Issue Date

05/15/2021

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

MOUNT STERLING

State

Zip

62353

County

BROWN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026