LARAE MICHELE BURGESS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194009003

License Status

NOT RENEWED

Business

First Name

LARAE

Middle

MICHELE

Last Name

BURGESS

Business Name

LARAE MICHELE BURGESS

Original Issue Date

07/25/2012

Effective Date

09/22/2015

Expiration Date

10/31/2017

City

MELBOURNE

State

Zip

32940

Ever Disciplined

LastModifiedDate

01/04/2018