MARY ELLEN COULTAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041200362

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

COULTAS

Business Name

MARY ELLEN COULTAS

Original Issue Date

11/17/1980

Effective Date

03/29/2018

Expiration Date

09/30/2020

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

01/14/2021