KERENSA C LAFATA Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194007144

License Status

NOT RENEWED

Business

First Name

KERENSA

Middle

Last Name

LAFATA

Business Name

KERENSA C LAFATA

Original Issue Date

07/27/2007

Effective Date

08/07/2013

Expiration Date

10/31/2015

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

12/09/2015