STEPHANIE HELEN DOUGLAS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003457

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

HELEN

Last Name

DOUGLAS

Business Name

STEPHANIE HELEN DOUGLAS

Original Issue Date

02/03/1999

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

PONTOON BEACH

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/11/2005