BONNIE J BROUGHTON Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002115

License Status

NOT RENEWED

Business

First Name

BONNIE

Middle

Last Name

BROUGHTON

Business Name

BONNIE J BROUGHTON

Original Issue Date

04/17/1998

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005