ALLYN N MILLBURG Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008662

License Status

NOT RENEWED

Business

First Name

ALLYN

Middle

Last Name

MILLBURG

Business Name

ALLYN N MILLBURG

Original Issue Date

08/15/2011

Effective Date

10/30/2015

Expiration Date

10/31/2017

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

01/04/2018