EVELYN MORMON Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000582

License Status

NOT RENEWED

Business

First Name

EVELYN

Last Name

MORMON

Business Name

EVELYN MORMON

Original Issue Date

01/09/1998

Effective Date

10/16/2003

Expiration Date

10/31/2005

City

DOUGLASVILLE

State

Zip

30135

County

GEORGIA

Ever Disciplined

LastModifiedDate

12/22/2005