TIA RENEE BOLDEN Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008760

License Status

NOT RENEWED

Business

First Name

TIA

Middle

RENEE

Last Name

BOLDEN

Business Name

TIA RENEE BOLDEN

Original Issue Date

10/31/2011

Effective Date

10/23/2013

Expiration Date

10/31/2015

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/09/2015