DOUGLAS K LACEY Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002250

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

LACEY

Business Name

DOUGLAS K LACEY

Original Issue Date

05/08/1998

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005