ROBERTA JEAN FAHEY Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003105

License Status

NOT RENEWED

Business

First Name

ROBERTA

Middle

JEAN

Last Name

FAHEY

Business Name

ROBERTA JEAN FAHEY

Original Issue Date

09/17/1998

Effective Date

10/09/2013

Expiration Date

10/31/2015

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

12/09/2015