GINA M STOCKUM Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004242

License Status

ACTIVE

Business

First Name

GINA

Middle

Last Name

STOCKUM

Business Name

GINA M STOCKUM

Original Issue Date

03/31/2000

Effective Date

10/12/2025

Expiration Date

10/31/2027

City

MINIER

State

Zip

61759

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/12/2025