RENATA B STURDIVANT Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194007263

License Status

NOT RENEWED

Business

First Name

RENATA

Middle

Last Name

STURDIVANT

Business Name

RENATA B STURDIVANT

Original Issue Date

10/16/2007

Effective Date

10/24/2019

Expiration Date

02/28/2022

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/27/2022