The holder whose full name is Koontz, Christie Marie,come from Henderson KY,hold the Temporary LPN Permit license(NO.99004658A) which status is Superceded.
| Name | Koontz, Christie Marie |
|---|---|
| License Number | 99004658A |
| License Type | Temporary LPN Permit |
| License Status | Superceded |
| City | Henderson |
| State | KY |