DANA LYNN BOOMERSHINE Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194007484

License Status

INACTIVE

Business

First Name

DANA

Middle

LYNN

Last Name

BOOMERSHINE

Business Name

DANA LYNN BOOMERSHINE

Original Issue Date

06/03/2008

Effective Date

08/07/2013

Expiration Date

10/31/2015

City

COLONA

State

Zip

61241

County

HENRY

Ever Disciplined

LastModifiedDate

08/05/2015