VIRGINIA ELLEN MALLETTE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006358

License Status

NOT RENEWED

Business

First Name

VIRGINIA

Middle

ELLEN

Last Name

MALLETTE

Business Name

VIRGINIA ELLEN MALLETTE

Original Issue Date

01/19/2006

Effective Date

10/15/2013

Expiration Date

10/31/2015

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

12/09/2015