SEAN RANDOLPH DECKER Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194009155

License Status

INACTIVE

Business

First Name

SEAN

Middle

RANDOLPH

Last Name

DECKER

Business Name

SEAN RANDOLPH DECKER

Original Issue Date

11/05/2012

Effective Date

10/09/2013

Expiration Date

10/31/2015

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

08/05/2015