MISTY DAWN KELLY Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194010805

License Status

NOT RENEWED

Business

First Name

MISTY

Middle

DAWN

Last Name

KELLY

Business Name

MISTY DAWN KELLY

Original Issue Date

03/28/2018

Effective Date

07/06/2020

Expiration Date

02/28/2022

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

07/27/2022