NICHOLAS BRENT KOCH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

BRENT

Last Name

KOCH

Business Name

NICHOLAS BRENT KOCH

Original Issue Date

11/20/2023

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60660

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026