SHIRLEY A KOLTZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043038639

License Status

NOT RENEWED

Business

First Name

SHIRLEY A

Last Name

KOLTZ

Business Name

SHIRLEY A KOLTZ

Original Issue Date

01/06/1976

Effective Date

01/12/2009

Expiration Date

01/31/2011

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/10/2011