PHYLLIS J KOLTZ - Registered Nurse License in Wisconsin | # 041085881

PHYLLIS J KOLTZ

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041085881

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS J

Last Name

KOLTZ

Business Name

PHYLLIS J KOLTZ

Original Issue Date

11/21/1956

Effective Date

11/21/1956

Expiration Date

05/31/1998

State

WI

Ever Disciplined

N

LastModifiedDate

09/27/2006