STACEY LYNN GROSSARTH Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194012866

License Status

ACTIVE

Business

First Name

STACEY

Middle

LYNN

Last Name

GROSSARTH

Business Name

STACEY LYNN GROSSARTH

Original Issue Date

09/12/2024

Effective Date

08/04/2025

Expiration Date

10/31/2027

City

LAVEEN

State

Zip

85339

Ever Disciplined

LastModifiedDate

08/04/2025