TERRENCE D COULTER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108082

License Status

INACTIVE

Business

First Name

TERRENCE

Middle

Last Name

COULTER

Suffix

Business Name

TERRENCE D COULTER MD

Original Issue Date

10/28/2002

Effective Date

07/22/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

65807

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/07/2011