PHYLLIS COULTER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004010

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Last Name

COULTER

Business Name

PHYLLIS COULTER

Original Issue Date

11/14/2001

Effective Date

04/26/2018

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021