VICKIE SUE ICENOGLE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000137

License Status

NOT RENEWED

Business

First Name

VICKIE SUE

Last Name

ICENOGLE

Business Name

VICKIE SUE ICENOGLE

Original Issue Date

10/10/1997

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

09/11/2005