KARRISSA N BONTZ Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043105664

License Status

INACTIVE

Business

First Name

KARRISSA

Middle

Last Name

BONTZ

Business Name

KARRISSA N BONTZ

Original Issue Date

04/25/2008

Effective Date

04/25/2008

Expiration Date

01/31/2009

City

HANNA CITY

State

Zip

61536

County

PEORIA

Ever Disciplined

LastModifiedDate

11/10/2008