CHRYSTAL D COULTAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043103750

License Status

NOT RENEWED

Business

First Name

CHRYSTAL

Middle

Last Name

COULTAS

Business Name

CHRYSTAL D COULTAS

BusinessDBA

GOLLAHER

Original Issue Date

07/20/2007

Effective Date

07/20/2007

Expiration Date

01/31/2009

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/17/2009