STACIE COULTAS - Respiratory Care Practitioner License in Illinois | # 194001016

STACIE COULTAS

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001016

License Status

NOT RENEWED

Business

N

First Name

STACIE

Last Name

COULTAS

Business Name

STACIE COULTAS

Original Issue Date

02/10/1998

Effective Date

11/01/2005

Expiration Date

10/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

12/05/2007