STACY ILEAN SMITH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008276

License Status

NOT RENEWED

Business

First Name

STACY

Middle

ILEAN

Last Name

SMITH

Business Name

STACY ILEAN SMITH

Original Issue Date

07/16/2010

Effective Date

10/26/2011

Expiration Date

10/31/2013

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

12/10/2013