MINU SIMON PULLUKAT Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001171

License Status

INACTIVE

Business

First Name

MINU SIMON

Last Name

PULLUKAT

Business Name

MINU SIMON PULLUKAT

Original Issue Date

03/06/1998

Effective Date

12/26/2003

Expiration Date

10/31/2003

City

LAKELAND

State

Zip

33803

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/11/2005