LORI J EICKMAN Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001359

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

EICKMAN

Business Name

LORI J EICKMAN

Original Issue Date

03/10/1998

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005