SUSAN COLLEEN MASTEN Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002568

License Status

NOT RENEWED

Business

First Name

SUSAN COLLEEN

Last Name

MASTEN

Business Name

SUSAN COLLEEN MASTEN

Original Issue Date

06/01/1998

Effective Date

10/14/2003

Expiration Date

10/31/2005

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/22/2005