PEGGY E EWING Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006828

License Status

INACTIVE

Business

First Name

PEGGY

Middle

Last Name

EWING

Business Name

PEGGY E EWING

Original Issue Date

09/07/2006

Effective Date

09/14/2009

Expiration Date

10/31/2011

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

08/03/2011