KELLY L BURDETTE Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194009086

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

BURDETTE

Business Name

KELLY L BURDETTE

Original Issue Date

09/12/2012

Effective Date

11/01/2017

Expiration Date

10/31/2019

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

01/23/2020