LYNN DIANE M KOONTZ
Nursing at Blackberry Dr, Melbourne, FL

License number
Florida 797362
Issued Date
Oct 3, 1975
Effective Date
Jan 1, 1901
Expiration Date
Apr 30, 2018
Category
Health Care
Type
Registered Nurse
Address
Address
4797 Blackberry Dr, Melbourne, FL 32904
Phone
(321) 725-0213
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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