MARY CHRISTINE WIEDA Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003604

License Status

NOT RENEWED

Business

First Name

MARY

Middle

CHRISTINE

Last Name

WIEDA

Business Name

MARY CHRISTINE WIEDA

Original Issue Date

06/01/1999

Effective Date

11/01/2007

Expiration Date

10/31/2009

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/09/2009