MARY ANN KOONTZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041103489

License Status

INACTIVE

Business

First Name

MARY ANN

Last Name

KOONTZ

Business Name

MARY ANN KOONTZ

Original Issue Date

08/28/1962

Effective Date

08/28/1962

Expiration Date

05/31/1988

City

DIAMOND BAR

State

Zip

91765

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/27/2006