REGINA A SHUTTA Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005712

License Status

INACTIVE

Business

First Name

REGINA

Middle

Last Name

SHUTTA

Business Name

REGINA A SHUTTA

Original Issue Date

07/13/2004

Effective Date

09/26/2011

Expiration Date

10/31/2013

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

08/07/2013