PAULA S MARTIN Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000519

License Status

INACTIVE

Business

First Name

PAULA S

Last Name

MARTIN

Business Name

PAULA S MARTIN

Original Issue Date

01/06/1998

Effective Date

09/30/2003

Expiration Date

10/31/2003

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

09/11/2005