MELANIE ANN LICKENBROCK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001772

License Status

NOT RENEWED

Business

First Name

MELANIE ANN

Last Name

LICKENBROCK

Business Name

MELANIE ANN LICKENBROCK

Original Issue Date

03/25/1998

Effective Date

10/31/2019

Expiration Date

02/28/2022

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/27/2022