ROBYN DALE POLK Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194003739

License Status

NOT RENEWED

Business

First Name

ROBYN DALE

Last Name

POLK

Business Name

ROBYN DALE POLK

Original Issue Date

10/28/1999

Effective Date

10/31/2003

Expiration Date

10/31/2005

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

12/22/2005