MICHAEL L SHAW Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005808

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

SHAW

Business Name

MICHAEL L SHAW

Original Issue Date

11/22/2004

Effective Date

09/21/2009

Expiration Date

10/31/2011

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

12/07/2011