JACQUELINE ANN KUNTZ Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

INOPERATIVE

Business

First Name

JACQUELINE

Middle

ANN

Last Name

KUNTZ

Business Name

JACQUELINE ANN KUNTZ

Original Issue Date

10/22/2018

Effective Date

08/27/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60605

Ever Disciplined

LastModifiedDate

05/02/2022