DIANE MARIE OPDAHL Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004268

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MARIE

Last Name

OPDAHL

Business Name

DIANE MARIE OPDAHL

Original Issue Date

04/19/2000

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

09/11/2005