KIMBERLY L KOONTZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011642

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

KOONTZ

Business Name

KIMBERLY L KOONTZ

Original Issue Date

07/09/2014

Effective Date

06/09/2022

Expiration Date

06/30/2024

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/05/2025