CAROLYN J ROBERTS Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005330

License Status

INACTIVE

Business

First Name

CAROLYN

Middle

Last Name

ROBERTS

Business Name

CAROLYN J ROBERTS

Original Issue Date

03/11/2003

Effective Date

10/07/2003

Expiration Date

10/31/2005

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

09/09/2005