KIPLEY JAMES LAGOW Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194002989

License Status

INACTIVE

Business

First Name

KIPLEY

Middle

JAMES

Last Name

LAGOW

Business Name

KIPLEY JAMES LAGOW

Original Issue Date

08/27/1998

Effective Date

11/01/1999

Expiration Date

10/30/1999

City

ALBION

State

Zip

62806

County

EDWARDS

Ever Disciplined

LastModifiedDate

07/29/2005