MARILYN JUNE SMITH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002839

License Status

NOT RENEWED

Business

First Name

MARILYN JUNE

Last Name

SMITH

Business Name

MARILYN JUNE SMITH

Original Issue Date

07/09/1998

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

12/05/2007