TRACI SUE LOPEZ Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005857

License Status

ACTIVE

Business

First Name

TRACI

Middle

SUE

Last Name

LOPEZ

Business Name

TRACI SUE LOPEZ

Original Issue Date

01/28/2005

Effective Date

08/05/2025

Expiration Date

10/31/2027

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/05/2025