PHYLLIS H ANDERSON Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006457

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

ANDERSON

Business Name

PHYLLIS H ANDERSON

Original Issue Date

02/27/2006

Effective Date

11/01/2007

Expiration Date

10/31/2009

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

12/09/2009