MARY J COULTAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041094449

License Status

NOT RENEWED

Business

First Name

MARY J

Last Name

COULTAS

Business Name

MARY J COULTAS

Original Issue Date

11/25/1959

Effective Date

04/20/2020

Expiration Date

08/31/2022

City

WINCHESTER

State

Zip

62694

County

SCOTT

Ever Disciplined

LastModifiedDate

10/14/2022