OLIVE LONGWORTH NICKELS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006031

License Status

NOT RENEWED

Business

First Name

OLIVE

Middle

LONGWORTH

Last Name

NICKELS

Business Name

OLIVE LONGWORTH NICKELS

Original Issue Date

10/05/2005

Effective Date

08/08/2023

Expiration Date

10/31/2025

City

SIMPSON

State

Zip

62985

County

JOHNSON

Ever Disciplined

LastModifiedDate

02/04/2026