KELLY MICHELE LANE Respiratory Care Practitioner License verification

Business Entity

ACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194012231

License Status

ACTIVE

Business

First Name

KELLY

Middle

MICHELE

Last Name

LANE

Business Name

KELLY MICHELE LANE

Original Issue Date

12/28/2022

Effective Date

10/11/2025

Expiration Date

10/31/2027

City

MANTENO

State

Zip

60950

Ever Disciplined

LastModifiedDate

10/11/2025