DESI L DENNIS MD Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004696

License Status

NOT RENEWED

Business

Title

First Name

DESI

Middle

Last Name

DENNIS

Business Name

DESI L DENNIS MD

Original Issue Date

04/20/2001

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

09/11/2005