STANLEY KEITH DIAL Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001256

License Status

NOT RENEWED

Business

First Name

STANLEY KEITH

Last Name

DIAL

Business Name

STANLEY KEITH DIAL

Original Issue Date

03/09/1998

Effective Date

10/27/2015

Expiration Date

10/31/2017

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

01/04/2018