TRACIE DENISE MICK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006206

License Status

NOT RENEWED

Business

First Name

TRACIE

Middle

DENISE

Last Name

MICK

Business Name

TRACIE DENISE MICK

Original Issue Date

12/21/2005

Effective Date

10/15/2019

Expiration Date

02/28/2022

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

07/27/2022