SALLY ANN MOORE Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002436

License Status

INACTIVE

Business

First Name

SALLY ANN

Last Name

MOORE

Business Name

SALLY ANN MOORE

Original Issue Date

05/20/1998

Effective Date

11/01/2007

Expiration Date

10/31/2009

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

08/05/2009