LONNIE POLKOW MOCH Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018937

License Status

NOT RENEWED

Business

First Name

LONNIE

Middle

POLKOW

Last Name

MOCH

Business Name

LONNIE POLKOW MOCH

Original Issue Date

03/06/2019

Effective Date

07/27/2022

Expiration Date

06/30/2024

City

WENTZVILLE

State

Zip

63385

Ever Disciplined

LastModifiedDate

02/05/2025