DONNA K WALLACE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006290

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

WALLACE

Business Name

DONNA K WALLACE

Original Issue Date

01/11/2006

Effective Date

08/22/2019

Expiration Date

02/28/2022

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

07/27/2022