DIANE V BLASINGAME Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194005100

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

BLASINGAME

Business Name

DIANE V BLASINGAME

Original Issue Date

05/15/2002

Effective Date

09/28/2009

Expiration Date

10/31/2011

City

INDIANAPOLIS

State

Zip

46239

County

INDIANA

Ever Disciplined

LastModifiedDate

12/07/2011