KERRY ANN INGRAM Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003224

License Status

NOT RENEWED

Business

First Name

KERRY ANN

Last Name

INGRAM

Business Name

KERRY ANN INGRAM

Original Issue Date

10/06/1998

Effective Date

10/16/2017

Expiration Date

10/31/2019

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/23/2020