DIANE M KOCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041176504

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

KOCH

Business Name

DIANE M KOCH

Original Issue Date

10/12/1977

Effective Date

03/26/2018

Expiration Date

09/30/2020

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021