TERRYL WYNN MARTIN Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003548

License Status

NOT RENEWED

Business

First Name

TERRYL

Middle

WYNN

Last Name

MARTIN

Business Name

TERRYL WYNN MARTIN

Original Issue Date

04/07/1999

Effective Date

09/25/2013

Expiration Date

10/31/2015

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

12/09/2015