TIFFANY A KOON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043102425

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

KOON

Business Name

TIFFANY A KOON

Original Issue Date

10/17/2006

Effective Date

02/01/2011

Expiration Date

01/31/2013

City

STEELEVILLE

State

Zip

62288

County

RANDOLPH

Ever Disciplined

LastModifiedDate

03/20/2013