DUSTIN LEE KEITH Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194009779

License Status

NOT RENEWED

Business

First Name

DUSTIN

Middle

LEE

Last Name

KEITH

Business Name

DUSTIN LEE KEITH

Original Issue Date

10/01/2014

Effective Date

10/01/2014

Expiration Date

10/31/2015

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

12/09/2015