CRYSTAL D KOONTZ Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043113278

License Status

ACTIVE

Business

First Name

CRYSTAL

Middle

Last Name

KOONTZ

Business Name

CRYSTAL D KOONTZ

Original Issue Date

09/06/2011

Effective Date

01/14/2025

Expiration Date

01/31/2027

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/14/2025