CAROL L ANDERSEN Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003066

License Status

INACTIVE

Business

First Name

CAROL

Middle

Last Name

ANDERSEN

Business Name

CAROL L ANDERSEN

Original Issue Date

09/10/1998

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

08/07/2007