THERESA LYNN SHEPHERD Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005660

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

LYNN

Last Name

SHEPHERD

Business Name

THERESA LYNN SHEPHERD

Original Issue Date

06/01/2004

Effective Date

11/01/2005

Expiration Date

10/31/2007

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

12/05/2007