KATHY S SOUTHWICK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003202

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

Last Name

SOUTHWICK

Business Name

KATHY S SOUTHWICK

Original Issue Date

09/29/1998

Effective Date

11/01/2007

Expiration Date

10/31/2009

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

12/09/2009