MELINDA KOONTZ BROKAW Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300646

License Status

ACTIVE

Business

First Name

MELINDA

Middle

KOONTZ

Last Name

BROKAW

Business Name

MELINDA KOONTZ BROKAW

Original Issue Date

10/16/1996

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

02/28/2026

Case Number

2004005776

Action

Suspension

Discipline Start Date

02/26/2008

Discipline End Date

03/27/2008

Discipline Reason

Suspended for 30 days due to a felony conviction for conspiracy to manufacture or possession of methamphetamine.