ANDREW OWEN KOCH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

OWEN

Last Name

KOCH

Business Name

ANDREW OWEN KOCH

Original Issue Date

02/27/2019

Effective Date

05/15/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60610

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022