TARA N KISSELL Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194009998

License Status

ACTIVE

Business

First Name

TARA

Middle

Last Name

KISSELL

Business Name

TARA N KISSELL

Original Issue Date

08/04/2015

Effective Date

10/30/2025

Expiration Date

10/31/2027

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/30/2025