PHYLLIS J KOLTZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041085881

License Status

NOT RENEWED

Business

First Name

PHYLLIS J

Last Name

KOLTZ

Business Name

PHYLLIS J KOLTZ

Original Issue Date

11/21/1956

Effective Date

11/21/1956

Expiration Date

05/31/1998

City

WALWORTH

State

Zip

53184

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/27/2006