MICHELLE N MADLOCK Respiratory Care Practitioner License verification

Business Entity

INACTIVE

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194007383

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

Last Name

MADLOCK

Business Name

MICHELLE N MADLOCK

Original Issue Date

02/06/2008

Effective Date

02/06/2008

Expiration Date

10/31/2009

City

MC CORDSVILLE

State

Zip

46055

County

INDIANA

Ever Disciplined

LastModifiedDate

08/05/2009