SHIRLEY J KOHTZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036445

License Status

INACTIVE

Business

First Name

SHIRLEY J

Last Name

KOHTZ

Business Name

SHIRLEY J KOHTZ

Original Issue Date

01/30/1975

Expiration Date

01/31/1993

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005