Indiana
State Board of Nursing
ROBERTA JEAN KOONTZ
Licensed Practical Nurse
License number
27039236A
Date granted
10/04/1994
Date expires
10/31/2008
Class
Licensed Practical Nurse
Status
Expired
Address
MOORELAND IN 47360
nursingindiana.org
ID 12164611
LAST UPDATED 2024-05-09 23:51:51 UTC
LAST UPDATED 2024-05-09 23:51:51 UTC
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