DIANNE M D SMITH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004355

License Status

NOT RENEWED

Business

First Name

DIANNE

Middle

M D

Last Name

SMITH

Business Name

DIANNE M D SMITH

Original Issue Date

06/13/2000

Effective Date

10/28/2013

Expiration Date

10/31/2015

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

12/09/2015