KEITH LYNN PHELPS Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003476

License Status

INACTIVE

Business

First Name

KEITH

Middle

LYNN

Last Name

PHELPS

Business Name

KEITH LYNN PHELPS

Original Issue Date

02/22/1999

Effective Date

10/31/2001

Expiration Date

10/31/2001

City

MARISSA

State

Zip

62257

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005