Exhibit 31.1

CERTIFICTION OF PRINCPAL EXECUTIVE OFFICER

I Marlene Krauss, M.D., Chief Executive
Officer, certify that:



|1. | I have reviewed this Quarterly Report on Form 10-QSB of KBL Healthcare Acquisition Corp. II;
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|2. | Based on my knowledge, this quarterly report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in
light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
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|3. | Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial conditions, results
of operations and cash flows of the small business issuer as of, and for, the periods presented in this report.
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|4. | The small business issuers other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act
Rules 13a-15(e) and 15d-15(e)) for the small business issuer and have:
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| | a) | Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information
relating to the small business issuer, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
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| | b) | Evaluated the effectiveness of the small business issuers disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the
disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and
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| | c) | Disclosed in this report any change in the small business issuers internal control over financial reporting that occurred during the small business issuers most recent
fiscal quarter (the small business issuers fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the small business issuers internal control over financial
reporting; and
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|5. | The small business issuers other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the small
business issuers auditors and the audit committee of the small business issuers board of directors (or persons performing the equivalent functions):
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| | a) | All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the
small business issuers ability to record, process, summarize and report financial information; and
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| | b) | Any fraud, whether or not material, that involves management or other employees who have a significant role in the small business issuers internal control over financial
reporting.
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|                              |  |  |  |  |  |                          |  | 
|----------------------------- |  |  |  |  |  | ------------------------ |  | 
|/s/ Marlene Krauss, M.D.      |  |  |  |  |  | Dated: November 14, 2006
|Marlene Krauss, M.D.          |  |  |  |  |  |                         
|Chief Executive Officer       |  |  |  |  |  |                         
|(Principal Executive Officer) |  |  |  |  |  |