CASEY L AMBROSE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006914

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

Last Name

AMBROSE

Business Name

CASEY L AMBROSE

Original Issue Date

11/17/2006

Effective Date

04/17/2012

Expiration Date

10/31/2013

City

MORO

State

Zip

62067

County

MADISON

Ever Disciplined

LastModifiedDate

12/10/2013