COULTAS WILLIAM GIBSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

COULTAS WILLIAM

Last Name

GIBSON

Suffix

Business Name

COULTAS WILLIAM GIBSON MD

Original Issue Date

01/01/1997

Effective Date

07/11/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017