PENNY LEE MARTIN Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006189

License Status

ACTIVE

Business

First Name

PENNY

Middle

LEE

Last Name

MARTIN

Business Name

PENNY LEE MARTIN

Original Issue Date

12/13/2005

Effective Date

09/15/2025

Expiration Date

10/31/2027

City

CROSSVILLE

State

Zip

62827

County

WHITE

Ever Disciplined

LastModifiedDate

09/15/2025