CARLA SUE MATTOX Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194008921

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

SUE

Last Name

MATTOX

Business Name

CARLA SUE MATTOX

Original Issue Date

04/27/2012

Effective Date

10/14/2015

Expiration Date

10/31/2017

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/04/2018