DONNA MARIE AVERY Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005750

License Status

INACTIVE

Business

First Name

DONNA

Middle

MARIE

Last Name

AVERY

Business Name

DONNA MARIE AVERY

Original Issue Date

09/16/2004

Effective Date

09/16/2004

Expiration Date

10/31/2005

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/09/2005