LEANNA M GRISSOM Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005851

License Status

NOT RENEWED

Business

First Name

LEANNA

Middle

Last Name

GRISSOM

Business Name

LEANNA M GRISSOM

Original Issue Date

01/21/2005

Effective Date

11/01/2017

Expiration Date

10/31/2019

City

PANA

State

Zip

62557

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

01/23/2020

Case Number

2017010628

Action

Fine

Discipline Start Date

04/23/2019

Discipline Reason

due to the excessive use of alcohol.