KIMBERLY L KOONTZ Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

INOPERATIVE

Business

First Name

KIMBERLY

Middle

Last Name

KOONTZ

Business Name

KIMBERLY L KOONTZ

Original Issue Date

08/04/2014

Effective Date

06/09/2022

Expiration Date

05/31/2024

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

03/03/2024