RANDEL ALLEN PRATHER Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000113

License Status

NOT RENEWED

Business

First Name

RANDEL ALLEN

Last Name

PRATHER

Business Name

RANDEL ALLEN PRATHER

Original Issue Date

10/10/1997

Effective Date

09/30/2015

Expiration Date

10/31/2017

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/04/2018