ELLIE LOUISE SHORT Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000320

License Status

INACTIVE

Business

First Name

ELLIE LOUISE

Last Name

SHORT

Business Name

ELLIE LOUISE SHORT

Original Issue Date

12/16/1997

Effective Date

10/30/2001

Expiration Date

10/31/2001

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

09/11/2005