SANDRA KAY NICKELL Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001866

License Status

NOT RENEWED

Business

First Name

SANDRA KAY

Last Name

NICKELL

Business Name

SANDRA KAY NICKELL

Original Issue Date

03/31/1998

Effective Date

09/18/2013

Expiration Date

10/31/2015

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/09/2015