HOLLY G BAKER Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001501

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

BAKER

Business Name

HOLLY G BAKER

Original Issue Date

03/12/1998

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005