CAROL LEE KELLY Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003586

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

LEE

Last Name

KELLY

Business Name

CAROL LEE KELLY

Original Issue Date

05/11/1999

Effective Date

12/03/2001

Expiration Date

10/31/2001

City

LAKE STATION

State

Zip

46405

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005