KELLY R KOCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066064

License Status

NOT RENEWED

Business

First Name

KELLY R

Last Name

KOCH

Business Name

KELLY R KOCH

Original Issue Date

08/10/1988

Expiration Date

01/31/1991

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/21/2005