KURTIS HOWARD KOTH Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000753

License Status

INACTIVE

Business

First Name

KURTIS

Middle

HOWARD

Last Name

KOTH

Business Name

KURTIS HOWARD KOTH

Original Issue Date

06/08/2001

Effective Date

06/08/2001

Expiration Date

05/31/2006

City

MANCHESTER

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/09/2008