KELLY LYNN GUALTIER Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004737

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

LYNN

Last Name

GUALTIER

Business Name

KELLY LYNN GUALTIER

Original Issue Date

06/19/2001

Effective Date

12/10/2003

Expiration Date

10/31/2003

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005