MARY LEVIS LACKEY Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005168

License Status

NOT RENEWED

Business

First Name

MARY

Middle

LEVIS

Last Name

LACKEY

Business Name

MARY LEVIS LACKEY

Original Issue Date

08/14/2002

Effective Date

09/26/2019

Expiration Date

02/28/2022

City

WINNEBAGO

State

Zip

61088

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022