SHIRLEY C KOCH Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010380

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

Last Name

KOCH

Business Name

SHIRLEY C KOCH

Original Issue Date

08/18/2008

Effective Date

09/24/2019

Expiration Date

02/28/2022

City

MOUNT STERLING

State

Zip

62353

County

BROWN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

07/27/2022