SUSAN D KOCH Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041150741

License Status

INACTIVE

Business

First Name

SUSAN D

Last Name

KOCH

Business Name

SUSAN D KOCH

Original Issue Date

10/03/1973

Effective Date

04/02/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/08/2012