DONNA MARIE MEDINA Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194010290

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

MARIE

Last Name

MEDINA

Business Name

DONNA MARIE MEDINA

Original Issue Date

07/26/2016

Effective Date

10/09/2019

Expiration Date

02/28/2022

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/27/2022