STACIE COULTAS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001016

License Status

NOT RENEWED

Business

First Name

STACIE

Last Name

COULTAS

Business Name

STACIE COULTAS

Original Issue Date

02/10/1998

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

WOODLAWN

State

Zip

62898

County

JEFFERSON

Ever Disciplined

LastModifiedDate

12/05/2007