TINA LOUISE LEE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005411

License Status

NOT RENEWED

Business

First Name

TINA

Middle

LOUISE

Last Name

LEE

Business Name

TINA LOUISE LEE

Original Issue Date

08/26/2003

Effective Date

08/26/2003

Expiration Date

10/31/2005

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

12/22/2005