LISA J GUDAT Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008079

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

GUDAT

Business Name

LISA J GUDAT

Original Issue Date

11/23/2009

Effective Date

10/26/2017

Expiration Date

10/31/2019

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/23/2020