SHELLY D KOCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066682

License Status

NOT RENEWED

Business

First Name

SHELLY

Middle

Last Name

KOCH

Business Name

SHELLY D KOCH

Original Issue Date

01/14/1989

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/15/2005