Phyllis Lynn Koch
ExpiredIllinois license 044003912
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 044003912
- Status
- Expired (Not Renewed)
- First issued
- July 19, 1990
- Expired
- November 30, 1991
- License holder
- Phyllis Lynn Koch
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Other Health Care
Contact
Metropolis, IL 62960
Massac County