TARA J BALDOCK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002175

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

BALDOCK

Business Name

TARA J BALDOCK

Original Issue Date

04/28/1998

Effective Date

12/21/1999

Expiration Date

10/30/1999

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

07/29/2005