MARY A BLANTON Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001251

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

BLANTON

Business Name

MARY A BLANTON

Original Issue Date

03/09/1998

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

EAST ST LOUIS

State

Zip

62205

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005