STEPHANIE F BOLL Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008576

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

BOLL

Business Name

STEPHANIE F BOLL

Original Issue Date

06/16/2011

Effective Date

10/08/2019

Expiration Date

02/28/2022

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022