MARLA RENEE DAVIS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003075

License Status

NOT RENEWED

Business

First Name

MARLA RENEE

Last Name

DAVIS

Business Name

MARLA RENEE DAVIS

Original Issue Date

09/14/1998

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005