CINDY ANN KOHTZ Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

INACTIVE

Business

First Name

CINDY ANN

Last Name

KOHTZ

Business Name

CINDY ANN KOHTZ

Original Issue Date

02/18/2021

Effective Date

04/05/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61604

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/29/2025