PHILLIP O TANNER Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194000855

License Status

NOT RENEWED

Business

First Name

PHILLIP O

Last Name

TANNER

Business Name

PHILLIP O TANNER

Original Issue Date

01/29/1998

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

RICHVIEW

State

Zip

62877

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/11/2005