DOLLY EVA DOUGLAS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002695

License Status

NOT RENEWED

Business

First Name

DOLLY

Middle

EVA

Last Name

DOUGLAS

Business Name

DOLLY EVA DOUGLAS

Original Issue Date

06/17/1998

Effective Date

11/01/2007

Expiration Date

10/31/2009

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

12/09/2009