LISA ELAINE BOHANNON Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008066

License Status

INACTIVE

Business

First Name

LISA

Middle

ELAINE

Last Name

BOHANNON

Business Name

LISA ELAINE BOHANNON

Original Issue Date

11/17/2009

Effective Date

11/17/2009

Expiration Date

10/31/2011

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

08/03/2011