JAMES IRL KOLTUN Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002755

License Status

CANCELLED

Business

First Name

JAMES

Middle

IRL

Last Name

KOLTUN

Business Name

JAMES IRL KOLTUN

Original Issue Date

02/27/2001

Effective Date

03/30/2001

Expiration Date

12/01/2001

City

VIRDEN

State

Zip

62690

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/31/2005