TINA ELLEN POOLE Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002597

License Status

INACTIVE

Business

First Name

TINA

Middle

ELLEN

Last Name

POOLE

Business Name

TINA ELLEN POOLE

Original Issue Date

06/03/1998

Effective Date

12/02/2003

Expiration Date

10/31/2003

City

MUDDY

State

Zip

62965

County

HARDIN

Ever Disciplined

LastModifiedDate

09/11/2005