LONNIE K KLONTZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041119700

License Status

INACTIVE

Business

First Name

LONNIE K

Last Name

KLONTZ

Business Name

LONNIE K KLONTZ

Original Issue Date

11/07/1966

Effective Date

05/17/2010

Expiration Date

05/31/2012

City

MCCONNELL

State

Zip

61050

County

STEPHENSON

Ever Disciplined

LastModifiedDate

03/08/2012