SHIRLEY C KOCH Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003243

License Status

EXPIRED

Business

First Name

SHIRLEY

Middle

Last Name

KOCH

Business Name

SHIRLEY C KOCH

Original Issue Date

05/08/2007

Effective Date

05/08/2007

Expiration Date

08/21/2008

City

MOUNT STERLING

State

Zip

62353

County

BROWN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

01/04/2018