CARLIE JO HANNAH LANE Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194010647

License Status

ACTIVE

Business

First Name

CARLIE

Middle

JO HANNAH

Last Name

LANE

Business Name

CARLIE JO HANNAH LANE

Original Issue Date

09/20/2017

Effective Date

10/27/2025

Expiration Date

10/31/2027

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/27/2025