TRACY LYNN KOLTUN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041405290

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

LYNN

Last Name

KOLTUN

Business Name

TRACY LYNN KOLTUN

Original Issue Date

08/20/2012

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

GLENDALE

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021