MICHAEL BENJAMIN COUILLARD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041316132

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

BENJAMIN

Last Name

COUILLARD

Business Name

MICHAEL BENJAMIN COUILLARD

Original Issue Date

08/26/1999

Effective Date

08/26/1999

Expiration Date

05/31/2002

City

WAXHAW

State

Zip

28173

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/09/2006

Case Number

2001001647

Action

Probation

Discipline Start Date

07/08/2002

Discipline End Date

07/07/2005

Discipline Reason

Disciplined in North Carolina.