MARK C COULTAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043051063

License Status

NOT RENEWED

Business

First Name

MARK C

Last Name

COULTAS

Business Name

MARK C COULTAS

Original Issue Date

01/08/1981

Effective Date

02/22/1999

Expiration Date

01/31/1999

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/27/2005