DEANNA L PRENTICE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001676

License Status

NOT RENEWED

Business

First Name

DEANNA

Middle

Last Name

PRENTICE

Business Name

DEANNA L PRENTICE

Original Issue Date

03/20/1998

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

PAW PAW

State

Zip

61353

County

DEKALB

Ever Disciplined

LastModifiedDate

09/11/2005