CAROLLYN LEE HAMM Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194001898

License Status

NOT RENEWED

Business

First Name

CAROLLYN LEE

Last Name

HAMM

Business Name

CAROLLYN LEE HAMM

Original Issue Date

03/31/1998

Effective Date

10/03/2003

Expiration Date

10/31/2005

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/22/2005