PHYLLIS A MILLER Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006654

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

MILLER

Business Name

PHYLLIS A MILLER

Original Issue Date

05/08/2006

Effective Date

10/25/2013

Expiration Date

10/31/2015

City

SAINT ELMO

State

Zip

62458

County

FAYETTE

Ever Disciplined

LastModifiedDate

12/09/2015