SUSAN LUCILLE GRANT Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000125

License Status

ACTIVE

Business

First Name

SUSAN LUCILLE

Last Name

GRANT

Business Name

SUSAN LUCILLE GRANT

Original Issue Date

10/10/1997

Effective Date

10/28/2025

Expiration Date

10/31/2027

City

FORREST

State

Zip

61741

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/28/2025