DOROTHY M KOONTZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041020494

License Status

INACTIVE

Business

First Name

DOROTHY M

Last Name

KOONTZ

Business Name

DOROTHY M KOONTZ

Original Issue Date

09/17/1930

Effective Date

09/17/1930

City

AUGUSTA

State

Zip

30906

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/27/2006