CHARLOTTE M KOONTZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041179302

License Status

NOT RENEWED

Business

First Name

CHARLOTTE M

Last Name

KOONTZ

Business Name

CHARLOTTE M KOONTZ

Original Issue Date

02/06/1978

Effective Date

02/06/1978

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

09/27/2006