KIMBERLY S KOONTZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082623

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

KOONTZ

Business Name

KIMBERLY S KOONTZ

Original Issue Date

09/11/1998

Effective Date

01/12/2005

Expiration Date

01/31/2007

City

FITHIAN

State

Zip

61844

County

VERMILION

Ever Disciplined

LastModifiedDate

03/16/2007