PATRICIA LYNN FORD Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003484

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

LYNN

Last Name

FORD

Business Name

PATRICIA LYNN FORD

Original Issue Date

03/02/1999

Effective Date

09/10/2019

Expiration Date

02/28/2022

City

ROXANA

State

Zip

62084

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022