KELLY D EDWARDS Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005794

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

EDWARDS

Business Name

KELLY D EDWARDS

Original Issue Date

11/05/2004

Effective Date

10/30/2009

Expiration Date

10/31/2011

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/03/2011