BENJAMIN N KOCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041376930

License Status

NOT RENEWED

Business

First Name

BENJAMIN

Middle

Last Name

KOCH

Business Name

BENJAMIN N KOCH

Original Issue Date

07/09/2009

Effective Date

05/04/2016

Expiration Date

05/31/2018

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018