ELIZABETH ANN KOCH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146794

License Status

INACTIVE

Business

First Name

ELIZABETH ANN

Last Name

KOCH

Business Name

ELIZABETH ANN KOCH

Original Issue Date

12/13/1972

Effective Date

03/23/2018

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/08/2020