LANA K SMITH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003769

License Status

NOT RENEWED

Business

First Name

LANA

Middle

Last Name

SMITH

Business Name

LANA K SMITH

Original Issue Date

11/08/1999

Effective Date

10/30/2015

Expiration Date

10/31/2017

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/04/2018