PHYLLIS ANN WOODS Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194004947

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

ANN

Last Name

WOODS

Business Name

PHYLLIS ANN WOODS

Original Issue Date

01/03/2002

Effective Date

10/10/2017

Expiration Date

10/31/2019

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

01/23/2020