MARK JOSEPH MOOMAW Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006590

License Status

NOT RENEWED

Business

First Name

MARK

Middle

JOSEPH

Last Name

MOOMAW

Business Name

MARK JOSEPH MOOMAW

Original Issue Date

04/07/2006

Effective Date

10/08/2013

Expiration Date

10/31/2015

City

STEWARDSON

State

Zip

62463

County

SHELBY

Ever Disciplined

LastModifiedDate

12/09/2015