COULTAS WILLIAM GIBSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040567

License Status

NOT RENEWED

Business

First Name

COULTAS WILLIAM

Last Name

GIBSON

Suffix

Business Name

COULTAS WILLIAM GIBSON MD

Original Issue Date

08/18/1966

Effective Date

06/16/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017