STACY LEE DICKERMAN Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005832

License Status

ACTIVE

Business

First Name

STACY

Middle

LEE

Last Name

DICKERMAN

Business Name

STACY LEE DICKERMAN

Original Issue Date

12/20/2004

Effective Date

10/28/2025

Expiration Date

10/31/2027

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/28/2025