MARY ANN REYNOLDS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002879

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ANN

Last Name

REYNOLDS

Business Name

MARY ANN REYNOLDS

Original Issue Date

07/29/1998

Effective Date

12/10/2009

Expiration Date

10/31/2011

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/07/2011