DOROTHY B KOONTZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011293

License Status

INACTIVE

Business

First Name

DOROTHY B

Last Name

KOONTZ

Business Name

DOROTHY B KOONTZ

Original Issue Date

04/09/1963

Expiration Date

01/31/1989

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/21/2005