PRISCILLA LYNN MOODY Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001665

License Status

INACTIVE

Business

First Name

PRISCILLA LYNN

Last Name

MOODY

Business Name

PRISCILLA LYNN MOODY

Original Issue Date

03/19/1998

Effective Date

10/14/2011

Expiration Date

10/31/2013

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/07/2013