LISA MARIE SHANER Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006651

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

SHANER

Business Name

LISA MARIE SHANER

Original Issue Date

05/04/2006

Effective Date

10/28/2013

Expiration Date

10/31/2015

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/09/2015