Pennsylvania
Department of State
JACQUELINE KOONTZ
Nursing Home Administrator
License number
NH003543L
Date granted
06/10/1991
Date expires
06/30/1996
Class
Nursing Home Administrator
Status
Inactive
Address
EVERETT PA 15537
palicensing.org
ID 16915996
LAST UPDATED 2024-04-16 11:18:21 UTC
LAST UPDATED 2024-04-16 11:18:21 UTC
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