JASON DAVID MARK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005502

License Status

NOT RENEWED

Business

First Name

JASON DAVID

Last Name

MARK

Business Name

JASON DAVID MARK

Original Issue Date

11/19/2003

Effective Date

11/19/2003

Expiration Date

10/31/2005

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

12/22/2005