WARREN COULTAS BARROW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

WARREN COULTAS

Last Name

BARROW

Suffix

Business Name

WARREN COULTAS BARROW MD

Original Issue Date

04/12/2002

Effective Date

05/04/2011

Expiration Date

07/31/2014

City

WINCHESTER

State

Zip

62694

County

SCOTT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014