HOLLY A CORNELL Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004899

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

CORNELL

Business Name

HOLLY A CORNELL

Original Issue Date

11/29/2001

Effective Date

09/09/2013

Expiration Date

10/31/2015

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/09/2015