TAMRA SUE MOORE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008122

License Status

NOT RENEWED

Business

First Name

TAMRA

Middle

SUE

Last Name

MOORE

Business Name

TAMRA SUE MOORE

Original Issue Date

01/11/2010

Effective Date

10/25/2011

Expiration Date

10/31/2013

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

12/10/2013