KEATON NICOLE BRADDY Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194011022

License Status

NOT RENEWED

Business

First Name

KEATON

Middle

NICOLE

Last Name

BRADDY

Business Name

KEATON NICOLE BRADDY

Original Issue Date

01/15/2019

Effective Date

01/30/2022

Expiration Date

10/31/2023

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

03/28/2024