KELLIE HAZLETT Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003221

License Status

INACTIVE

Business

First Name

KELLIE

Last Name

HAZLETT

Business Name

KELLIE HAZLETT

Original Issue Date

10/06/1998

Effective Date

12/28/2021

Expiration Date

10/31/2023

City

COLORADO SPRINGS

State

Zip

80918

Ever Disciplined

LastModifiedDate

09/02/2023