LACIE CLARK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194012765

License Status

NOT RENEWED

Business

First Name

LACIE

Last Name

CLARK

Business Name

LACIE CLARK

Original Issue Date

07/18/2024

Effective Date

07/18/2024

Expiration Date

10/31/2025

City

SCOTT AFB

State

Zip

62225

County

OHIO

Ever Disciplined

LastModifiedDate

02/04/2026