JILL NICHOLE ANTRIM WELLS Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004755

License Status

ACTIVE

Business

First Name

JILL

Middle

NICHOLE

Last Name

ANTRIM WELLS

Business Name

JILL NICHOLE ANTRIM WELLS

Original Issue Date

08/16/2001

Effective Date

10/22/2025

Expiration Date

10/31/2027

City

SHELBYVILLE

State

Zip

62565

Ever Disciplined

LastModifiedDate

10/22/2025