JESSICA ELLEN FOX Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000170

License Status

INACTIVE

Business

First Name

JESSICA ELLEN

Last Name

FOX

Business Name

JESSICA ELLEN FOX

Original Issue Date

10/10/1997

Effective Date

09/19/2001

Expiration Date

10/31/2001

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

09/11/2005