MARA M ROUGHTON Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194007327

License Status

INACTIVE

Business

First Name

MARA

Middle

Last Name

ROUGHTON

Business Name

MARA M ROUGHTON

Original Issue Date

11/29/2007

Effective Date

11/29/2007

Expiration Date

10/31/2009

City

PHILO

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/05/2009