LEE ANN DECLERCK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000828

License Status

NOT RENEWED

Business

First Name

LEE ANN

Last Name

DECLERCK

Business Name

LEE ANN DECLERCK

Original Issue Date

01/29/1998

Effective Date

10/06/2015

Expiration Date

10/31/2017

City

PANA

State

Zip

62557

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

01/04/2018