ALISHA D BLACK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003733

License Status

NOT RENEWED

Business

First Name

ALISHA

Middle

Last Name

BLACK

Business Name

ALISHA D BLACK

Original Issue Date

10/25/1999

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

NORRIS CITY

State

Zip

62869

County

GALLATIN

Ever Disciplined

LastModifiedDate

09/11/2005