HOLLY LEE GUSTAFSON-HICKS Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006114

License Status

ACTIVE

Business

First Name

HOLLY

Middle

LEE

Last Name

GUSTAFSON-HICKS

Business Name

HOLLY LEE GUSTAFSON-HICKS

Original Issue Date

11/09/2005

Effective Date

10/17/2025

Expiration Date

10/31/2027

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

10/17/2025