ANN M VAN WAGNER Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194006383

License Status

INACTIVE

Business

First Name

ANN

Middle

Last Name

VAN WAGNER

Business Name

ANN M VAN WAGNER

Original Issue Date

02/10/2006

Effective Date

02/10/2006

Expiration Date

10/31/2007

City

PORTER

State

Zip

46304

Ever Disciplined

LastModifiedDate

08/07/2007