SUZANNE MARIE PICHA-SHAW Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006049

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

MARIE

Last Name

PICHA-SHAW

Business Name

SUZANNE MARIE PICHA-SHAW

Original Issue Date

10/13/2005

Effective Date

10/13/2005

Expiration Date

10/31/2007

City

COBDEN

State

Zip

62920

County

UNION

Ever Disciplined

LastModifiedDate

12/05/2007