AMBER L KOTH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

INACTIVE

Business

First Name

AMBER

Middle

Last Name

KOTH

Business Name

AMBER L KOTH

Original Issue Date

10/02/2017

Effective Date

06/02/2020

Expiration Date

05/31/2022

City

NORMAL

State

Zip

61761

County

COOK

Ever Disciplined

LastModifiedDate

03/02/2022