MACK A MYERS SR Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001094

License Status

INACTIVE

Business

First Name

MACK A

Last Name

MYERS SR

Business Name

MACK A MYERS SR

Original Issue Date

02/13/1998

Effective Date

10/30/2001

Expiration Date

10/31/2001

City

KINMUNDY

State

Zip

62854

County

MARION

Ever Disciplined

LastModifiedDate

09/11/2005