TIFFANY LASHA FORDSON Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008337

License Status

INACTIVE

Business

First Name

TIFFANY

Middle

LASHA

Last Name

FORDSON

Business Name

TIFFANY LASHA FORDSON

Original Issue Date

08/13/2010

Effective Date

08/13/2010

Expiration Date

10/31/2011

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/03/2011