ADDIE BEATRICE RANDOLPH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002977

License Status

NOT RENEWED

Business

First Name

ADDIE BEATRICE

Last Name

RANDOLPH

Business Name

ADDIE BEATRICE RANDOLPH

Original Issue Date

08/24/1998

Effective Date

10/12/2017

Expiration Date

10/31/2019

City

VENICE

State

Zip

62090

County

MADISON

Ever Disciplined

LastModifiedDate

01/23/2020