MARY VERDA PORTER Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004083

License Status

NOT RENEWED

Business

First Name

MARY

Middle

VERDA

Last Name

PORTER

Business Name

MARY VERDA PORTER

Original Issue Date

02/16/2000

Effective Date

10/13/2009

Expiration Date

10/31/2011

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

12/07/2011