AMBER L KOTH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****79

License Status

ACTIVE

Business

First Name

AMBER

Middle

Last Name

KOTH

Business Name

AMBER L KOTH

Original Issue Date

12/29/2021

Effective Date

05/09/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/02/2026