SHIRLEY C KOCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043038122

License Status

NOT RENEWED

Business

First Name

SHIRLEY

Middle

Last Name

KOCH

Business Name

SHIRLEY C KOCH

Original Issue Date

10/17/1975

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

MOUNT STERLING

State

Zip

62353

County

BROWN

Ever Disciplined

LastModifiedDate

10/15/2005