MARY ANN KOONTZ Social Worker License verification

Business Entity

INACTIVE

License Type

Social Worker

Description

LICENSED SOCIAL WORKER

License Number

150010238

License Status

INACTIVE

Business

First Name

MARY

Middle

ANN

Last Name

KOONTZ

Business Name

MARY ANN KOONTZ

Original Issue Date

09/22/2005

Effective Date

12/01/2007

Expiration Date

11/30/2009

City

FORT WAYNE

State

Zip

46804

County

INDIANA

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

09/02/2009