KRYSTAL JANE PRUDEN Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194007725

License Status

INACTIVE

Business

First Name

KRYSTAL

Middle

JANE

Last Name

PRUDEN

Business Name

KRYSTAL JANE PRUDEN

Original Issue Date

12/23/2008

Effective Date

10/23/2009

Expiration Date

10/31/2011

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

08/03/2011