DAVID RAY SHEPPARD Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003236

License Status

INACTIVE

Business

First Name

DAVID

Middle

RAY

Last Name

SHEPPARD

Business Name

DAVID RAY SHEPPARD

Original Issue Date

10/07/1998

Effective Date

08/16/2013

Expiration Date

10/31/2015

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

08/05/2015