CLORENA M SMITH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004317

License Status

NOT RENEWED

Business

First Name

CLORENA

Middle

Last Name

SMITH

Business Name

CLORENA M SMITH

Original Issue Date

05/17/2000

Effective Date

11/19/2021

Expiration Date

10/31/2023

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/28/2024